Individual provider Active NPI

Gillian M Hallissey, LMHCA

  • Counselor
  • Lynnwood, WA
National Provider Identifier
1275427437
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61682610 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
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC61682610 WA Primary

Addresses

Primary practice location

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

Mailing address

5108 196TH St SW
C/O RXDX Med Billing SVC LLC Ste 310
Lynnwood, WA 98036
Phone (425) 582-2041

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
MC61682610WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Mental Health LLC CurrentSince Jun 8, 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

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": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1275427437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW",
            "address_2": "C/O RXDX MED BILLING SVC LLC STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "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": [],
    "basic": {
        "last_name": "HALLISSEY",
        "first_name": "GILLIAN",
        "middle_name": "M",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61682610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.