Regina Gamage, M.S. LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00006776 Issued in WA

Practice address

12521 NE 152ND Ave
Brush Prairie, WA 98606-7287

Phone

(360) 254-9798

NPI assigned

Jun 4, 2013

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 names 1

• Ms. Gina Gamage Basham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1639516396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 NE 152ND AVE",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986067287",
            "telephone_number": "360-254-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12521 NE 152ND AVE",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986067287",
            "telephone_number": "360-254-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAGE",
        "first_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "M.S. LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "GAMAGE BASHAM",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Marie Edison, O.D.
• Sarah Ervin, MSCN
• Margo E Faron, OTR/L
• Tami Lynne Furgerson, OT/L
• Caitlin Patricia Gallup, MA, CCC-SLP
• Christopher Garrett, DOT
• Rachel Gathright, DOULA
• Glacier Therapies Online
• Rachel Goddard
• Elise Gold

• Mental Health Counselor in Brush Prairie, WA
• Providers in Brush Prairie, 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 Jun 4, 2013; 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.