Active NPI
Gloria Brim
- Mental Health Counselor
- Auburn, WA
National Provider Identifier
1083088298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG 60599290
- Practice address
- 4240 Auburn Way N
Auburn, WA 98002-1311 - Phone
- (253) 981-4233
- NPI assigned
- Nov 25, 2015
- Last updated
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG 60599290 | WA | Primary |
Addresses
Primary practice location
4240 Auburn Way N
Auburn, WA 98002-1311
Mailing address
11223 SE 253Rd PL
Kent, WA 98030-5600
Phone (253) 981-4233
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG 60599290 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Successful Essential Counseling LLC | Mental Health | Current | Accepting new patients |
| All Inclusive Community Center | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Federal Way, WA
- NPI 1831807833
-
- Mental Health Counselor
- Federal Way, WA
- NPI 1487325890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1083088298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11223 SE 253RD PL",
"city": "KENT",
"state": "WA",
"postal_code": "980305600",
"telephone_number": "253-981-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 AUBURN WAY N",
"city": "AUBURN",
"state": "WA",
"postal_code": "980021311",
"telephone_number": "253-981-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIM",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG 60599290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.