SHANNON WITTEVRONGEL LMHC
NPI 1861870941
Counselor in Seattle, WA

Active since May 11, 2015Opted out of Medicare · through Nov 14, 2026
314 W GALER ST STE 203, SEATTLE, WA 98119(602) 432-9980 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Wittevrongel Lmhc NPPES

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

SHANNON WITTEVRONGEL LMHC (NPI 1861870941) is an individual counselor in Seattle, Washington, licensed in Washington (LH60813335) and active in the NPI registry since May 2015. She has opted out of Medicare through November 14, 2026.

NPPES Registry Identity

NPI1861870941
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON WITTEVRONGELCredential: LMHC
Location Address314 W GALER ST STE 203Seattle, WA 98119-3393
Mailing Address621 N 179th StShoreline, WA 98133-4727 · (602) 432-9980
Sole ProprietorYes
Enumeration DateMay 11, 2015
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1861870941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · LH60813335
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.
314 W GALER ST STE 203, Seattle, WA 98119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Shannon Wittevrongel 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 November 14, 2024 through November 14, 2026.

Opt-Out Effective DateNovember 14, 2024
Opt-Out In Effect ThroughNovember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
314 W GALER ST STE 203
SEATTLE, WA 98119

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 Shannon Wittevrongel's NPI number?

The NPI number for Shannon Wittevrongel is 1861870941. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Shannon Wittevrongel located?

Shannon Wittevrongel practices at 314 W Galer St Ste 203, Seattle, WA 98119. The listed phone number is (602) 432-9980.

What is Shannon Wittevrongel's specialty?

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

Is Shannon Wittevrongel enrolled in Medicare?

No. Shannon Wittevrongel has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Wittevrongel was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.