Individual provider Active NPI

Tamera Gittens, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1285302083
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61365848 Issued in WA
Practice address
1430 2ND Ave Apt 902
Seattle, WA 98101-3366
Phone
(347) 601-9921
NPI assigned
Sep 6, 2021
Reactivated
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 61214113 WA
Mental Health Counselor 101YM0800X 61365848 WA Primary

Addresses

Primary practice location

1430 2ND Ave Apt 902
Seattle, WA 98101-3366

Mailing address

300 Lenora Street
PMB 1348
Seattle, WA 98121
Phone (347) 601-9921

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
61214113WAMDMental Health Counselor
61365848WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Space LLC Mental Health Current Accepting new patients

Locations

300 Lenora St
Seattle, WA 98121
Phone (206) 623-7671

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1285302083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LENORA STREET",
            "address_2": "PMB 1348",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98121",
            "telephone_number": "347-601-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 2ND AVE APT 902",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013366",
            "telephone_number": "347-601-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTENS",
        "first_name": "TAMERA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "deactivation_date": "2022-10-13",
        "reactivation_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61214113",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61365848",
            "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 Oct 24, 2022; 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.