Individual provider Active NPI

Brandy Gillihan, L.M.H.C.A

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1154792646
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60585602 Issued in WA
Practice address
673 Woodland Square Loop SE
Suite 330
Lacey, WA 98503-1066
Phone
(888) 364-9577
Fax
(360) 628-5240
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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 MC60585602 WA Primary

Addresses

Primary practice location

673 Woodland Square Loop SE
Suite 330
Lacey, WA 98503-1066

Mailing address

3200 Capital Mall Dr SW Apt F302
Olympia, WA 98502-8790
Phone (360) 350-9594

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
MC60585602WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1154792646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CAPITAL MALL DR SW APT F302",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028790",
            "telephone_number": "360-350-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE 330",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031066",
            "telephone_number": "888-364-9577",
            "fax_number": "360-628-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "BRANDY",
        "credential": "L.M.H.C.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60585602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.