Active NPI
Gabrielle Cummuta
- Counselor
- Aberdeen, WA
National Provider Identifier
1497227433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG61099696
- Practice address
- 2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333 - Phone
- (360) 612-0012
- Fax
- (360) 532-0670
- NPI assigned
- Dec 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Counselor | 101Y00000X | CG61099696 | WA | Primary |
Addresses
Primary practice location
2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333
Mailing address
PO Box 1847
Longview, WA 98632-8140
Phone (360) 423-0203
Other practice location 1
901 Caledonia St
LA Crosse, WI 54603-2616
Phone (608) 785-4100
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 |
|---|---|---|---|
| CG61099696 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Wellness | Current | Accepting new patients |
Locations
2700 Simpson Ave
Ste 101
Aberdeen, WA 98520
Phone (360) 612-0012
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.
-
- Case Management Agency
- Longview, WA
- NPI 1487659579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1497227433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986328140",
"telephone_number": "360-423-0203",
"fax_number": "360-577-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SIMPSON AVE STE 101",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985204333",
"telephone_number": "360-612-0012",
"fax_number": "360-532-0670"
}
],
"practiceLocations": [
{
"address_1": "901 Caledonia St",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546032616",
"country_code": "US",
"telephone_number": "608-785-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMUTA",
"first_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61099696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.