Individual provider Active NPI

Karen Louise Gorman, MA PSYCHOLOGY

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1003930389
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003477 Issued in WA
Practice address
9395 Linder Way NW Ste 202
Silverdale, WA 98383-9149
Phone
(360) 692-7001
Fax
(360) 692-6458
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00003477 WA Primary

Addresses

Primary practice location

9395 Linder Way NW Ste 202
Silverdale, WA 98383-9149

Mailing address

PO Box 3
Silverdale, WA 98383-0003
Phone (360) 692-7001

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fax Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00003477WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1003930389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983830003",
            "telephone_number": "360-692-7001",
            "fax_number": "360-692-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 LINDER WAY NW STE 202",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839149",
            "telephone_number": "360-692-7001",
            "fax_number": "360-692-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MA PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "private fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "9395 Linder Way NW Ste 202",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983839149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.