SHANNON WITTEVRONGEL LMHC
NPI 1861870941
Counselor in Seattle, WA
- Individual
- Female
- Counselor
- Opted-Out Medicare
About SHANNON WITTEVRONGEL
This page provides the complete NPI Profile along with additional information for Shannon Wittevrongel, a provider established in Seattle, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1861870941 assigned on May 2015. The practitioner's primary taxonomy code is 101Y00000X with license number LH60813335 (WA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1861870941 Verify this NPI
- Provider Name
- SHANNON WITTEVRONGEL LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 314 W GALER ST STE 203 SEATTLE, WA 98119
- Location Phone
- (602) 432-9980
- Mailing Address
- 621 N 179TH ST SHORELINE, WA 98133
- Mailing Phone
- (602) 432-9980
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-11-2015
- Last Update Date
- 09-30-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Shannon Wittevrongel opted out of Medicare effective on 11-14-2024 until 11-14-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LH60813335
- License State
- WA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-14-2024
Opt-Out End Date: 11-14-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861870941, enumerated as an "individual" on May 11, 2015.
The provider is located at 314 W GALER ST STE 203 SEATTLE, WA 98119 and the phone number is (602) 432-9980.
Counselor with taxonomy code 101Y00000X.
