Active NPI
Michelle Catherine Gaza
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1760909246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1202 Black Lake Blvd SW
Olympia, WA 98502-7207 - Phone
- (360) 878-8248
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
1202 Black Lake Blvd SW
Olympia, WA 98502-7207
Mailing address
1202 Black Lake Blvd SW
Olympia, WA 98502-7207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342057513 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1760909246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 BLACK LAKE BLVD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985027207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 BLACK LAKE BLVD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985027207",
"telephone_number": "360-878-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZA",
"first_name": "MICHELLE",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342057513",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.