Bambe Gassama Fatty

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

758564 Issued in WA

Practice address

27921 75TH Dr NW
Stanwood, WA 98292-8154

Phone

(425) 773-0192

NPI assigned

Nov 12, 2025

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": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1396605416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27921 75TH DR NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928154",
            "telephone_number": "425-773-0192",
            "fax_number": "360-572-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27921 75TH DR NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928154",
            "telephone_number": "425-773-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTY",
        "first_name": "BAMBE",
        "middle_name": "GASSAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "758564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Richard Evers
• Eyecare Northwest Inc PS
• Joy R Fackenthall, MD
• Autumn Vivienne Falk-O'Denius, LAC LMP
• Brandon Jayson Falk, D.C.
• Phyllis A Ferguson, ARNP
• Cody E Finks, DPT
• Alexandra Catherine Marie Fiola
• Jennifer Fisher
• Janae Gwen Fletcher, LMT

• Mental Health Counselor in Stanwood, WA
• Providers in Stanwood, 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 Nov 19, 2025; 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.