Michelle Pearl Gamble, M. ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60544428 Issued in WA

Practice address

8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326

Phone

(253) 884-3644

Fax

(253) 884-2632

NPI assigned

Feb 20, 2007

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1528103496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "253-884-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "253-884-3644",
            "fax_number": "253-884-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "MICHELLE",
        "middle_name": "PEARL",
        "credential": "M. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60544428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51539180",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048252",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thad Shane Dickson, CPHIMS, PMP
• Olena O Dolzhenko
• Stacie Lynn Flynn, MA, LMHC
• Melissa Linda Fogarty, MA, LMHC
• Jacqueline Marie Furrey, MSW
• Maryann Rojo Giuffrida, NP
• Sarah Michelle Hansen, RN
• Gayle Lindsay Slaten Herman, M.S., MFT
• Jamie Michelle Hoffman, LMP
• Holos Mental Healthcare LLC

• Mental Health Counselor in Lakebay, WA
• Providers in Lakebay, 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 Mar 24, 2016; 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.