Keaira Shatea Gaines

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

GAINEKS132P2 Issued in WA

Practice address

2103 S Atlantic St
Seattle, WA 98144-3615

Phone

(296) 451-9039

NPI assigned

Mar 20, 2018

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

Other identifiers 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1568966166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S ATLANTIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443615",
            "telephone_number": "206-451-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S ATLANTIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443615",
            "telephone_number": "296-451-9039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16921 31st Pl S",
            "address_purpose": "LOCATION",
            "city": "Seatac",
            "state": "WA",
            "postal_code": "981883126",
            "country_code": "US",
            "telephone_number": "206-451-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "KEAIRA",
        "middle_name": "SHATEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "GAINEKS132P2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "GAINEKS132P2",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Gainer
• Aviona India Gaines
• David Gaines, LMFTA
• Jennifer McCracken Gaines, CDP
• John F Gaines, MD
• Matthew Patton Gaines, PT, DPT
• Raychel Gaines
• Selina Gaitan
• Srdjan Gajic, MD
• Sravani Gajjala

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 20, 2018; 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.