Individual provider Active NPI

Annette-Marie Vetter, LMHC, CDP

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1083004048
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60530510 Issued in WA
Practice address
6625 Wanger Way NW Suite 260C
Gig Harbor, WA 98335
Phone
(360) 813-7007
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60442794 WA
Mental Health Counselor 101YM0800X MC60530510 WA Primary

Addresses

Primary practice location

6625 Wanger Way NW Suite 260C
Gig Harbor, WA 98335

Mailing address

5114 Point Fosdick Dr Ste F
Gig Harbor, WA 98335-1734
Phone (360) 813-7007

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

State licenses

LicenseStateTypeSpecialty
CO60442794WAMDAddiction (Substance Use Disorder) Counselor
MC60530510WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Balance Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Apr 3, 2022 Accepting new patients

Locations

5114 Point Fosdick Dr
Ste F
Gig Harbor, WA 98335
Phone (253) 271-4195

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1083004048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 POINT FOSDICK DR STE F",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351734",
            "telephone_number": "360-813-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WANGER WAY NW SUITE 260C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "360-813-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTER",
        "first_name": "ANNETTE-MARIE",
        "credential": "LMHC, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60442794",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60530510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.