Individual provider Active NPI

Gabriel Drew Guth

  • Counselor
  • Lynnwood, WA
National Provider Identifier
1265909535
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH61639181 Issued in WA
Practice address
5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169
Phone
(425) 582-2041
Fax
(425) 527-0468
NPI assigned
Oct 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH61639181 WA Primary

Addresses

Primary practice location

5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169

Mailing address

5108 196TH St SW Ste 310
Lynnwood, WA 98036-6152
Phone (425) 582-2041

Other practice location 1

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020002925 WA Practitioner - Mental Health Counselor 7618465980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5108 196TH St SW
Suite 310
Lynnwood, WA 98036-6152

5108 196TH St SW
Suite 350
Lynnwood, WA 98036-6169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Mental Health LLC Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

5108 196th St SW
Ste 350
Lynnwood, WA 98036
Phone (425) 582-2041

5108 196th St SW
Ste 310
Lynnwood, WA 98036
Phone (425) 582-2041

811 1st Ave
Ste 464
Seattle, WA 98104
Phone (425) 582-2041

Organizations & group practices 1

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1265909535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Pioneer",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723265",
            "country_code": "US",
            "telephone_number": "253-697-8400",
            "fax_number": "253-697-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTH",
        "first_name": "GABRIEL",
        "middle_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH61639181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.