Active NPI
Danica Garside
- Mental Health Counselor
- Tacoma, WA
National Provider Identifier
1306627856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61344846
- Practice address
- 708 Broadway Ste 170
Tacoma, WA 98402-3778 - Phone
- (253) 348-6548
- NPI assigned
- Oct 11, 2023
- Last updated
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MC61344846 | WA | Primary |
Addresses
Primary practice location
708 Broadway Ste 170
Tacoma, WA 98402-3778
Mailing address
2593 Mount Pleasant Rd
San Jose, CA 95148-2309
Phone (408) 355-5287
Other practice location 1
2593 Mount Pleasant Rd
San Jose, CA 95148-2309
Phone (408) 355-5287
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61344846 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite a Path to Wellness | Single Specialty | Current | Accepting new patients |
Locations
708 Broadway
Ste 170
Tacoma, WA 98402
Phone (253) 348-6548
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1306627856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 MOUNT PLEASANT RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482309",
"telephone_number": "408-355-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 BROADWAY STE 170",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023778",
"telephone_number": "253-348-6548"
}
],
"practiceLocations": [
{
"address_1": "2593 Mount Pleasant Rd",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951482309",
"country_code": "US",
"telephone_number": "408-355-5287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARSIDE",
"first_name": "DANICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61344846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.