Gigi Servis, PHD, LMHC, SUDP, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60878662 Issued in WA

Practice address

807 Evans Dr
Sedro Woolley, WA 98284-1228

Phone

(808) 205-9537

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1689077307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 EVANS DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841228",
            "telephone_number": "808-205-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 EVANS DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841228",
            "telephone_number": "808-205-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIS",
        "first_name": "GIGI",
        "credential": "PHD, LMHC, SUDP, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CG60884835",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60878662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedro Woolley Physical Therapy, Inc., PS
• Sedro Woolley School District
• Sedro Woolley Vision Center Inc
• Sedro-Woolley Family Dental Center
• Lauren Margaret Serl-Andrade
• Matthew Shadwick
• Lesa Sheahan
• Nicole Marie Shepard
• Dan Siapco, M.D.
• Narinder Kaur Sidhu, REGISTERED NURSE

• Mental Health Counselor in Sedro Woolley, WA
• Providers in Sedro Woolley, 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 Oct 9, 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.

Verify at the official NPI Registry.