MEDICARE: SHANNON RICKERT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	MC60902592	WA

General Provider Information

NPI Number	:	1932829439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON RICKERT LMHC

Provider Business Mailing Address
First Line	:	6626 WAGNER WAY STE 200
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-6904
Country	:	US
Telephone Number	:	206-590-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	6626 WAGNER WAY STE 200
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-6904
Country	:	US
Telephone Number	:	206-590-3755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2022
Last Update Date	:	12/16/2025

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Directions to “ SHANNON RICKERT LMHC” Practice Location

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