Individual provider Active NPI

Gabrielle Mitrak, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1346876836
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61306791 Issued in WA
Practice address
214 N Commercial St Ste 102
Bellingham, WA 98225-4410
Phone
(360) 393-5114
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61306791 WA Primary

Addresses

Primary practice location

214 N Commercial St Ste 102
Bellingham, WA 98225-4410

Mailing address

214 N Commercial St Ste 102
Bellingham, WA 98225-4410
Phone (360) 393-5114

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
LH61306791WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Mama Strategies, Inc Mental Health CurrentSince Jun 21, 2022 Accepting new patients

Locations

214 N Commercial St
Ste 102
Bellingham, WA 98225
Phone (360) 393-5114

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1346876836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N COMMERCIAL ST STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254410",
            "telephone_number": "360-393-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N COMMERCIAL ST STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254410",
            "telephone_number": "360-393-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRAK",
        "first_name": "GABRIELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61306791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.