Gina Lynn Guddat, B.A. M.A. - PSCYHOLO

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MC60142709 Issued in WA

Practice address

12345 Roosevelt Way NE
Seattle, WA 98125

Phone

(888) 232-0222

NPI assigned

May 5, 2009

Last updated

Oct 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

State licenses

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.

• Live Well Alliance, LLC

  dba Gina G Group Gina Guddat

  • Mental Health Counselor
  • Kent, WA
  • NPI 1891241568
  Authorized official Same address or phone

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1932333960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "888-232-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "888-232-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDDAT",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "B.A. M.A. - PSCYHOLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "RC60062663",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MC60142709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Recovery Program LLC
• Victoria Guardipee I, MSW
• Cambrie Guarino, DC
• Victoria Gubarik
• John Dionisio Gubatayao, CDP
• Ciarai Gude, R.N.
• Jose A Gude, MD
• Shravya Shravya Gudimella, DDS
• Jamie Gudmastad
• Gretchen Reed Gudmundsen, PH.D.

• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.