MERRILL ELIZABETH SHATTUCK MA, LMHC
NPI 1306049317
Counselor - Mental Health in Bellevue, WA
About Merrill Elizabeth Shattuck Ma, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERRILL ELIZABETH SHATTUCK MA, LMHC (NPI 1306049317) is an individual mental health provider in Bellevue, Washington, licensed in Washington (LH60098275) and active in the NPI registry since June 2007. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Merrill Elizabeth Shattuck Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BELLEVUE, WA 98004
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Merrill Shattuck's NPI number?
The NPI number for Merrill Shattuck is 1306049317. It was assigned to this individual provider in the NPPES registry on June 7, 2007.
Where is Merrill Shattuck located?
Merrill Shattuck practices at 1715 114th Ave SE Ste 203, Bellevue, WA 98004. The listed phone number is (206) 317-8287.
What is Merrill Shattuck's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Merrill Shattuck enrolled in Medicare?
No. Merrill Shattuck has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Merrill Shattuck accept?
Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Merrill Shattuck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Merrill Shattuck was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Merrill Elizabeth Shattuck, MA, LMHC · NPI 1306049317
Mental Health provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1306049317 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH60098275 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1715 114TH AVE SE STE 203, Bellevue, WA 98004-6906
- **Phone:** (206) 317-8287
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 2, 2026
- **Other identifiers:** Medicaid 2371050 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306049317) · Data from the CMS NPPES public registry.