Individual provider Active NPI

Rion Lee Tisino

  • Clinical Social Worker
  • Gig Harbor, WA
National Provider Identifier
1952039604
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60100000 Issued in WA
Practice address
5224 Olympic Dr Ste 213
Gig Harbor, WA 98335-1792
Phone
(206) 403-7775
NPI assigned
Aug 10, 2022
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 MC61336262 WA
Clinical Social Worker 1041C0700X LW60100000 WA Primary

Addresses

Primary practice location

5224 Olympic Dr Ste 213
Gig Harbor, WA 98335-1792

Mailing address

5224 Olympic Dr Ste 213
Gig Harbor, WA 98335-1792
Phone (206) 403-7775

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

State licenses

LicenseStateTypeSpecialty
MC61336262WAMDMental Health Counselor
LW60100000WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1952039604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 OLYMPIC DR STE 213",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351792",
            "telephone_number": "206-403-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 OLYMPIC DR STE 213",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351792",
            "telephone_number": "206-403-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISINO",
        "first_name": "RION",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61336262",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.