Individual provider Active NPI

Gillian B Vik, MA

  • Mental Health Counselor
  • Des Moines, WA
National Provider Identifier
1093775868
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60062968 Issued in WA
Practice address
20834 5TH Ave S
Des Moines, WA 98198-3625
Phone
(206) 291-6518
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 LH60062968 WA Primary

Addresses

Primary practice location

20834 5TH Ave S
Des Moines, WA 98198-3625

Mailing address

20834 5TH Ave S
Des Moines, WA 98198-3625
Phone (206) 291-6518

Other practice location 1

5600 Rainier Ave S Ste 203
Seattle, WA 98118-2445
Phone (206) 291-6518

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
LH60062968WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1093775868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20834 5TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981983625",
            "telephone_number": "206-291-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20834 5TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981983625",
            "telephone_number": "206-291-6518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Rainier Ave S Ste 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981182445",
            "country_code": "US",
            "telephone_number": "206-291-6518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIK",
        "first_name": "GILLIAN",
        "middle_name": "B",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60062968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.