Active NPI
Ann Darin-Amos, M.A.
- Mental Health Counselor
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60168293
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH60168293 | Other | WA | STATE LICENSURE |
| RC00048014 | Other | WA | REGISTERED 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60168293 | WA | MD | Mental Health Counselor |
| RC00048014 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Mental Health | Past | 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
- 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.
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Mental Health
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.