MERRILL ELIZABETH SHATTUCK MA, LMHC
NPI 1306049317
Counselor - Mental Health in Bellevue, WA

Q: 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.

Q: What is Merrill Shattuck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Merrill Shattuck was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2007Opted out of Medicare · through Jan 1, 2028

1400 112TH AVE SE STE 202, BELLEVUE, WA 98004(206) 317-8287 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2025, Mar 1, 2021 (2 updates tracked since 2021).

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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

NPI1306049317

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMERRILL ELIZABETH SHATTUCKCredential: MA, LMHC

Location Address1400 112TH AVE SE STE 202Bellevue, WA 98004-6901

Mailing Address1715 114th Ave Se Ste 203Bellevue, WA 98004-6906 · (206) 317-8287

Phone(206) 317-8287

Sole ProprietorNo

Enumeration DateJune 7, 2007

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1306049317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH60098275

Also ListedCounselorTaxonomy 101Y00000X · License LH60098275 (WA)

1400 112TH AVE SE STE 202, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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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.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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