Active NPI
Ann Elyse Gabriel, M.ED.
- Mental Health Counselor
- Kennewick, WA
National Provider Identifier
1144643552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC 60414174
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH60657409 | Other | WA | DEPARTMENT OF HEALTH |
Other names 1
- Miss Ann Elyse Merriman
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 60414174 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services Northwest | Mental Health | Current | Accepting new patients |
| Lutheran Community Services Northwest | Current | Accepting new patients | |
| Lutheran Community Services Northwest | Current | 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.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1609900307
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seatac, WA
- NPI 1962628297
-
- Community/Behavioral Health Agency
- McMinnville, OR
- NPI 1255542106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.