Colette Annette Giovanniello

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF 60125331 Issued in WA

Practice address

1339 Commerce Ave
Suite 305
Longview, WA 98632-3738

Phone

(360) 703-7171

NPI assigned

Aug 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Licensed2Listen

  • Community/Behavioral Health Agency
  • Longview, WA
  • NPI 1609168889
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1497865737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 COMMERCE AVE",
            "address_2": "SUITE 305",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323738",
            "telephone_number": "360-703-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 COMMERCE AVE",
            "address_2": "SUITE 305",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323738",
            "telephone_number": "360-703-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNIELLO",
        "first_name": "COLETTE",
        "middle_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "910787084.",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF 60125331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LF 60125331",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICIAN MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LMF 47688,",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Adam Gibbons, PT
• John M Gibson, M.D
• Korry Gilbert, MA, LMHC
• Michael Eric Giles
• Martin LJ Gillen, MD
• Jacob R Gisby
• Sabrina Gish
• Jocelyn Danielle Glessing
• Genessa V Glidden, AAC
• Jennifer Glor, CNA

• Marriage & Family Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.