Individual provider Active NPI

Ann Darin-Amos, M.A.

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1851442388
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60168293 Issued in WA
Practice address
5201 Olympic Dr Ste 210
Gig Harbor, WA 98335-1778
Phone
(253) 752-7320
NPI assigned
Jan 12, 2007
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60168293 WA Primary
Mental Health Counselor 101YM0800X RC00048014 WA

Addresses

Primary practice location

5201 Olympic Dr Ste 210
Gig Harbor, WA 98335-1778

Mailing address

3529 S K St
Tacoma, WA 98418-4025
Phone (360) 359-6483

Other practice location 1

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (360) 330-9044 ext. 3369

Other identifiers 2

IdentifierTypeStateIssuer
LH60168293OtherWASTATE LICENSURE
RC00048014OtherWAREGISTERED COUNSELOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250121000622 WA Practitioner - Mental Health Counselor 6608305693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5201 Olympic Dr
Suite 210
Gig Harbor, WA 98335-1778
Phone (253) 475-6021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60168293WAMDMental Health Counselor
RC00048014WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Dec 16, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health PastSince Oct 8, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5201 Olympic Dr
Ste 210
Gig Harbor, WA 98335
Phone (253) 372-8635

2420 S Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 459-6111

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.anndarinamos@147765.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1851442388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 S K ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984184025",
            "telephone_number": "360-359-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 OLYMPIC DR STE 210",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351778",
            "telephone_number": "253-752-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 W Reynolds Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985314554",
            "country_code": "US",
            "telephone_number": "360-330-9044 x3369",
            "fax_number": "360-736-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARIN-AMOS",
        "first_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60168293",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00048014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LH60168293",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC00048014",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.