Active NPI
Gretchen Gallagher Van Blair, LMHC
- Mental Health Counselor
- Port Angeles, WA
National Provider Identifier
1629698493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61267046
- Practice address
- 816 E 8TH St
Port Angeles, WA 98362-6419 - Phone
- (360) 797-4021
- NPI assigned
- Apr 22, 2020
- Sex
- Female
- 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 | 61267046 | WA | Primary |
Addresses
Primary practice location
816 E 8TH St
Port Angeles, WA 98362-6419
Mailing address
816 E 8TH St
Port Angeles, WA 98362-6419
Phone (360) 797-4021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158459 | Medicaid | WA |
Other names 1
- Gretchen Van Blair
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gretchenvanblair.lmhc@gmail.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61267046 | WA | MD | Mental Health Counselor |
Interoperability endpoints
- gretchen.vanblair@direct.lower-elwha-klallam.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1629698493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626419",
"telephone_number": "360-797-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626419",
"telephone_number": "360-797-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BLAIR",
"first_name": "GRETCHEN",
"middle_name": "GALLAGHER",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61267046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2158459",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gretchenvanblair.lmhc@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "816 E 8th St",
"city": "Port Angeles",
"state": "WA",
"country_code": "US",
"postal_code": "983626419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GRETCHEN",
"last_name": "VAN BLAIR",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.