Jennifer Charlotte Gannon, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61326486 Issued in WA

Practice address

330 112TH Ave NE Ste 302
Bellevue, WA 98004-5800

Phone

(425) 505-0271

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1326766460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17210 SE 46TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066509",
            "telephone_number": "425-505-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 112TH AVE NE STE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045800",
            "telephone_number": "425-505-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "JENNIFER",
        "middle_name": "CHARLOTTE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61326486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI Meng Gan, M.D.
• Yanjun Gan, DDS
• Maheer Gandhavadi
• Robert M Gannan, MD PHD
• Gannon B. Stahl DDS PC (Pineview Aesthetic & Family Dentistry)
• Xiaoe Gao
• Yunxia Gao, OTR
• Chailah Garbarino
• Greta Garberg
• Archimedes D Garbes, MD

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.