Individual provider Active NPI

Laura Anne Douglass Peers, MA, LMHC, SUDP

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1548529324
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60398796 Issued in WA
Practice address
6625 Wagner Way Ste 260C
Gig Harbor, WA 98335-8392
Phone
(253) 348-6502
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60418181 WA
Mental Health Counselor 101YM0800X LH60398796 WA Primary

Addresses

Primary practice location

6625 Wagner Way Ste 260C
Gig Harbor, WA 98335-8392

Mailing address

6625 Wagner Way Ste 260C
Gig Harbor, WA 98335-8392
Phone (253) 348-6502

Other practice location 1

6625 Wagner Way NW
#260-C
Gig Harbor, WA 98335-9833
Phone (253) 432-4561

Other names 1

  • Anne Douglass Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60418181WAMDAddiction (Substance Use Disorder) Counselor
LH60398796WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglass Therapy and Associates CurrentSince Nov 26, 2023 Accepting new patients

Locations

6625 Wagner Way
Ste 260C
Gig Harbor, WA 98335
Phone (253) 348-6502

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1548529324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WAGNER WAY STE 260C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358392",
            "telephone_number": "253-348-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WAGNER WAY STE 260C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358392",
            "telephone_number": "253-348-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 Wagner Way NW",
            "address_2": "#260-C",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983359833",
            "country_code": "US",
            "telephone_number": "253-432-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS PEERS",
        "first_name": "LAURA ANNE",
        "credential": "MA, LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60418181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60398796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "DOUGLASS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.