Alder Wellness & Counseling, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ALDER WELLNESS & COUNSELING, PLLC

Practice address

2727 Hollycroft St Ste 110
Gig Harbor, WA 98335-1371

Phone

(253) 432-6126

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Glenda Dematty, LMHCNPI 1336531060

Title

Owner

Phone

(253) 432-6126

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda Dematty, LMHC

  • Mental Health Counselor
  • Gig Harbor, WA
  • NPI 1336531060
  NPD Authorized official

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1740749233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660216",
            "telephone_number": "253-432-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HOLLYCROFT ST STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351371",
            "telephone_number": "253-432-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDER WELLNESS & COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "DEMATTY",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-432-6126",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.