Selina Mae Ayres, LMHCA, MHP, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61060757 Issued in WA

Practice address

5610 Kitsap Way
Bremerton, WA 98312-2292

Phone

(360) 792-5699

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1356952774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6563 MCDONALD AVE UNIT 211",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352109",
            "telephone_number": "206-850-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 KITSAP WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122292",
            "telephone_number": "360-792-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6563 McDonald Ave Unit 211",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983352109",
            "country_code": "US",
            "telephone_number": "206-850-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRES",
        "first_name": "SELINA",
        "middle_name": "MAE",
        "credential": "LMHCA, MHP, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "61060757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61060757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ayers
• Giuliana Tiffany Ayers
• Laurie Ayers, R.D.H.
• Sadie Ayers
• Hayden Ayre, MD
• Baart Behavioral Health Services, Inc. (BAART Programs Bremerton)
• Kristina Baas
• Ethan Jo Babauta
• Diane V. Bachen, MSW
• Jennifer Bacho

• Mental Health Counselor in Bremerton, WA
• Providers in Bremerton, 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 Jan 8, 2024; 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.