Individual provider Active NPI

Ann Elyse Gabriel, M.ED.

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1144643552
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC 60414174 Issued in WA
Practice address
3321 W Kennewick Ave Ste 150
Kennewick, WA 99336
Phone
(509) 783-2085
Fax
(509) 735-6449
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 MC 60414174 WA Primary

Addresses

Primary practice location

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336

Mailing address

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968
Phone (509) 783-2085

Other identifiers 1

IdentifierTypeStateIssuer
LH60657409OtherWADEPARTMENT OF HEALTH

Other names 1

  • Miss Ann Elyse Merriman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MC 60414174WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest Mental Health Current Accepting new patients
Lutheran Community Services Northwest CurrentSince Aug 9, 2024 Accepting new patients
Lutheran Community Services Northwest CurrentSince Aug 9, 2024 Accepting new patients

Locations

3321 W Kennewick Ave
Ste 150
Kennewick, WA 99336
Phone (509) 735-6446

4040 S 188th St
Ste 300
Seatac, WA 98188
Phone (206) 816-3253

210 W Sprague Ave
Spokane, WA 99201
Phone (509) 747-8224

Organizations & group practices 3

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1144643552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 W KENNEWICK AVE STE 150",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362968",
            "telephone_number": "509-783-2085",
            "fax_number": "509-735-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 W KENNEWICK AVE STE 150",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-783-2085",
            "fax_number": "509-735-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ANN",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60414174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "LH60657409",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MERRIMAN",
            "middle_name": "ELYSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.