Tina Renee Gillespie, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH60758087 Issued in WA

Practice address

20274 NW Cedar LN
Poulsbo, WA 98370-9703

Phone

(360) 564-9585

NPI assigned

Apr 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment Care Compare group NPD
• Olympic Penninsula Autism Center

  • Developmentally Disabled Services Day Training Agency
  • Silverdale, WA
  • NPI 1073979225
  NPD (past)

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1871936807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20274 NW CEDAR LN",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709703",
            "telephone_number": "360-564-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20274 NW CEDAR LN",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709703",
            "telephone_number": "360-564-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19980 10th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983706321",
            "country_code": "US",
            "telephone_number": "360-564-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60758087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope R Geisbush, LMHC
• Jeffrey Wayne Gertner, MD
• Eva Geurtsen, PTA
• Jackie Gfeller, DPT
• Eloisa Gianelli
• James Byron Gillick, M.D.
• Gip Inc (Well Being Health Center)
• Michelle Cho Gip, D.C.
• John B. Goessman, DDS
• Alaina Marie Gordon, OTR

• Counselor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.

Verify at the official NPI Registry.