Individual provider Active NPI

Carrie Lynn Pipkin

  • Mental Health Counselor
  • Tumwater, WA
National Provider Identifier
1164088191
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60932817 Issued in WA
Practice address
1534 Bishop Rd SW
Tumwater, WA 98512
Phone
(360) 357-2370
Fax
(360) 357-2374
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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 LH60932817 WA Primary

Addresses

Primary practice location

1534 Bishop Rd SW
Tumwater, WA 98512

Mailing address

1534 Bishop Rd SW
Tumwater, WA 98512-7354
Phone (360) 357-2370

Other practice location 1

6005 Tyee Dr SW
Tumwater, WA 98512-7356
Phone (360) 464-6732

Other practice location 2

6005 Tyee Dr SW
Tumwater, WA 98512-7356
Phone (360) 464-6732

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
LH60932817WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1164088191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-357-2370",
            "fax_number": "360-357-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-357-2370",
            "fax_number": "360-357-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Tyee Dr SW",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985127356",
            "country_code": "US",
            "telephone_number": "360-464-6732",
            "fax_number": "360-427-2057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 Tyee Dr SW",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985127356",
            "country_code": "US",
            "telephone_number": "360-464-6732",
            "fax_number": "360-427-2057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPKIN",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60932817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.