Active NPI
Jerry Lynn Gatton Jr.
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1619352598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 309 Washington St NE
Olympia, WA 98501-1144 - Phone
- (360) 709-9725
- Fax
- (360) 570-8848
- NPI assigned
- Jul 21, 2015
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
309 Washington St NE
Olympia, WA 98501-1144
Mailing address
PO Box 7668
Olympia, WA 98507-7668
Phone (360) 709-9725
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1619352598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7668",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985077668",
"telephone_number": "360-709-9725",
"fax_number": "360-570-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 WASHINGTON ST NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011144",
"telephone_number": "360-709-9725",
"fax_number": "360-570-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTON",
"first_name": "JERRY",
"middle_name": "LYNN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Gastroenterology Associates Clinical Practice, PLLC (Gastroenterology Associates)
- Gastroenterology Associates, LLC (Gastroenterology Associates Endoscopy Center)
- Gastroenterology Associates, PLLC
- Faye A. Gatterman, LMP
- Dianna Lyn Gatto, PHARMD
- Peter David Gauger, DDS
- Lisa Lorraine Gaul, SUDPT
- Scott M Gaul, PA-C
- Arin Cole Gautreaux, LICSW, MSW, BS
- William A Gavin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.