Active NPI
Yakita Trenissia Gibrano
- Counselor
- Seattle, WA
National Provider Identifier
1285250449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- Evergreen Treatment Services
1700 Airport Way S
Seattle, WA 98134-1618 - Phone
- (206) 223-3644
- NPI assigned
- Jun 23, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
Evergreen Treatment Services
1700 Airport Way S
Seattle, WA 98134-1618
Mailing address
14300 SE 171St Way Apt T4
Renton, WA 98058-8741
Phone (206) 293-0661
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1285250449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 SE 171ST WAY APT T4",
"city": "RENTON",
"state": "WA",
"postal_code": "980588741",
"telephone_number": "206-293-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVERGREEN TREATMENT SERVICES",
"address_2": "1700 AIRPORT WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341618",
"telephone_number": "206-223-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBRANO",
"first_name": "YAKITA",
"middle_name": "TRENISSIA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.