Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598223810 Individual Practitioner Female Practitioner

Kathleen Riane Shaw

Counselor • Everett, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kathleen Shaw is a registered healthcare professional specializing in Counselor in Everett, WA. Official NPI practice address is registered at 811 MADISON ST.

Practice Location & Contact Primary Location

Practice Address

811 Madison St

Everett, WA 982034543

Telephone 4252124200
Fax 4252124220
Associated Practice Facility / Clinic
🏢 Sunrise Services, Inc. Facility NPI 1205917317

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
869 Specialists

Practicing in Everett, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-13
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61446169

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

39420 Liberty St Ste 150

Fremont, CA 945382284

Phone: 5107945155

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rita Kostelik , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003009135

Advanced Registered Nurse Practitioner

NPI 1003210477

Registered Nurse

Ashley Dyer

Counselor

NPI 1003261405
Beverly Carman , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1003262957
Kayleigh Thomas

Counselor - Mental Health

NPI 1003293663
NPI 1003357856

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 15, 2023

Registered at 811 MADISON ST, EVERETT, WA 982034543 (Tel: 4252124200)

📍
Updated Business Mailing Address May 15, 2023

Registered at PO BOX 2569, EVERETT, WA 982130569 (Tel: 4252124200)

NPI Profile Active March 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2019

Registered at 39420 LIBERTY ST STE 150, FREMONT, CA 945382284 (Tel: 5107945155)

📍
Updated Business Mailing Address March 05, 2019

Registered at 39420 LIBERTY ST STE 150, FREMONT, CA 945382284 (Tel: 5107945155)

👤
Provider Name / Credentials Updated March 05, 2019

Recorded as KATHLEEN SHAW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598223810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2019
Last Update: June 13, 2023
Sole Proprietor: No

Mailing Address

Po Box 2569

Everett, WA 982130569

Phone: 4252124200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.