Gregory Russell Gates, MA, LMHC, CDP, MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60074511 Issued in WA

Practice address

33309 1St Way S
Suite 203
Federal Way, WA 98003-6260

Phone

(253) 952-2556

Fax

(253) 952-6356

NPI assigned

Apr 26, 2013

Sex

Male

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

Master of Arts

State licenses

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 and National Provider Directory roles.

• Anchor Christian Counseling, LLC

  • Mental Health Counselor
  • Auburn, WA
  • NPI 1295210896

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Tern Ministries

  • Mental Health Counselor
  • Federal Way, WA
  • NPI 1780888065
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1699119115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33309 1ST WAY S",
            "address_2": "SUITE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036260",
            "telephone_number": "253-952-2556",
            "fax_number": "253-952-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33309 1ST WAY S",
            "address_2": "SUITE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036260",
            "telephone_number": "253-952-2556",
            "fax_number": "253-952-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "GREGORY",
        "middle_name": "RUSSELL",
        "credential": "MA, LMHC, CDP, MHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60039687",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60074511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline D Gardner, LMT
• Antoine Garland
• Patrick H Garvin, MD
• Michael A Gass, MD
• Glaiza Gatdula
• Raymond Gates
• Rachael Nyawira Gathoni, MEDICAL CASE MANAGER
• John Mark Gaudino, P.A.-C.
• Clayton Gaughran
• Karen Gauthier, LMP

• Mental Health Counselor in Federal Way, WA
• Providers in Federal Way, 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 Mar 28, 2017; 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.