Active NPI
Tami Gannon, MA, LMHC
- Mental Health Counselor
- Bremerton, WA
National Provider Identifier
1174650329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011277
- Practice address
- 2528 Wheaton Way Ste 106
Bremerton, WA 98310-3305 - Phone
- (360) 782-1933
- NPI assigned
- Feb 27, 2007
- 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 | LH00011277 | WA | Primary |
Addresses
Primary practice location
2528 Wheaton Way Ste 106
Bremerton, WA 98310-3305
Mailing address
PO Box 884
Port Orchard, WA 98366-0884
Phone (360) 536-2054
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011277 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare System Services Inc | Mental Health | Past | Accepting new patients |
| Olympic Psychiatric & Wellness Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Bremerton, WA
- NPI 1437330131
-
- Specialist
- Bremerton, WA
- NPI 1750528444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1174650329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 884",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983660884",
"telephone_number": "360-536-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 WHEATON WAY STE 106",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103305",
"telephone_number": "360-782-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "TAMI",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.