1. Home
  2. Directory
  3. Washington
  4. Kirkland
  5. Counselor
  6. NPI Profile

MR. SHAMAN MAYNE
NPI 1811670433
Counselor in Kirkland, WA

Active since August 10, 2023
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034(425) 650-4005 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shaman Mayne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHAMAN MAYNE (NPI 1811670433) is an individual counselor in Kirkland, Washington and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1811670433
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. SHAMAN MAYNE
Location Address11410 NE 122ND WAY STE 100Kirkland, WA 98034-6927
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123 · Fax (619) 374-7134
Phone(425) 650-4005
Sole ProprietorNo
Enumeration DateAugust 10, 2023
Last NPPES UpdateApril 27, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1811670433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11410 NE 122ND WAY STE 100, Kirkland, WA 98034
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

NATHALIE CLEMENT RN
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JONATHAN KING
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
GEORGIA MATTOX
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
MR. BRADLEY R MCCAUSLAND LMHCA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JOANNA J HULL
Peer Specialist
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
REBECCA SHANLEY
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
KATHERINE COMBS
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JACQUELINE PADILLA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (956) 376-3151

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 Shaman Mayne's NPI number?

The NPI number for Shaman Mayne is 1811670433. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Shaman Mayne located?

Shaman Mayne practices at 11410 NE 122nd Way Ste 100, Kirkland, WA 98034. The listed phone number is (425) 650-4005.

What is Shaman Mayne's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shaman Mayne was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.