Active NPI
Manuel Occhiogrosso, LMHC
- Mental Health Counselor
- Gig Harbor, WA
National Provider Identifier
1972778686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8662
- Practice address
- 3309 56TH St Ste 101
Gig Harbor, WA 98335-8580 - Phone
- (360) 360-0334
- Fax
- (360) 443-2365
- NPI assigned
- Apr 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH8662 | FL | |
| Professional Counselor | 101YP2500X | 216170 | ||
| Mental Health Counselor | 101YM0800X | MH 8662 | FL | Primary |
Addresses
Primary practice location
3309 56TH St Ste 101
Gig Harbor, WA 98335-8580
Mailing address
7348 Baltray PL SW
Port Orchard, WA 98367-7691
Phone (360) 360-0334
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3309 56TH St
Suite 101
Gig Harbor, WA 98335-8580
Phone (360) 360-0334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8662 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH 8662 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindscape Counseling | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
3309 56th St
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-3141
Organizations & group practices 1
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.
-
- Professional Counselor
- Gig Harbor, WA
- NPI 1699001149
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1972778686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7348 BALTRAY PL SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677691",
"telephone_number": "360-360-0334",
"fax_number": "360-598-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 56TH ST STE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358580",
"telephone_number": "360-360-0334",
"fax_number": "360-443-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCCHIOGROSSO",
"first_name": "MANUEL",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH8662",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "216170",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8662",
"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 Jan 27, 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.