Active NPI
Tami Lynne Gilbert, MA
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1972975431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61091134
- Practice address
- 1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208 - Phone
- (360) 480-5721
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | 61091134 | WA | Primary |
Addresses
Primary practice location
1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208
Mailing address
20449 Michigan Hill Rd SW
Rochester, WA 98579-9012
Phone (541) 760-1736
Other practice location 1
8282 28th Ct NE Ste A
Lacey, WA 98516-7162
Phone (360) 915-6868
Other names 1
- Tami Lynne Graville
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61091134 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics Northwest | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lacey, WA
- NPI 1396179545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1972975431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20449 MICHIGAN HILL RD SW",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985799012",
"telephone_number": "541-760-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 BLACK LAKE BLVD SW STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985027208",
"telephone_number": "360-480-5721"
}
],
"practiceLocations": [
{
"address_1": "8282 28th Ct NE Ste A",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985167162",
"country_code": "US",
"telephone_number": "360-915-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILBERT",
"first_name": "TAMI",
"middle_name": "LYNNE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61091134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMI",
"last_name": "GRAVILLE",
"middle_name": "LYNNE",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.