Kristin Elizabeth Gumz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60572842 Issued in WA

Practice address

402 E Yakima Ave
Suite 800
Yakima, WA 98901-5407

Phone

(206) 817-1310

NPI assigned

Sep 4, 2015

Last updated

Sep 14, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Healthcare

  • Community/Behavioral Health Agency
  • Yakima, WA
  • NPI 1073527453
  Medicare reassignment NPD
• Kristin Elizabeth Counseling and Mental Health Services

  • Mental Health Counselor
  • Yakima, WA
  • NPI 1407515794
  NPD Authorized official
• Comprehensive Healthcare

  • Methadone Clinic
  • Yakima, WA
  • NPI 1588871693
  NPD

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1639547821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E YAKIMA AVE",
            "address_2": "SUITE 800",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015407",
            "telephone_number": "206-817-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E YAKIMA AVE",
            "address_2": "SUITE 800",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015407",
            "telephone_number": "206-817-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMZ",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60572842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Guillen
• Lucila Guillen
• Madeleine Guinn, LMT
• Ashley Guisinger
• Kayla Gumke
• Shawn Gunadi, PHARMD
• Jack Matthew Gunn, MD
• Travis S Gunn
• Michele Lee Gurtler, LMHC
• Chloe Louis-Jemeica Guster, CDPT

• Clinical Social Worker in Yakima, WA
• Providers in Yakima, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.