Organization Active NPI

Blue Waters Counseling, PLLC

  • Community/Behavioral Health Agency
  • Gig Harbor, WA
National Provider Identifier
1982479457
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUE WATERS COUNSELING, PLLC
Practice address
3208 50TH Street CT
Gig Harbor, WA 98335-8590
Phone
(253) 307-9339
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Sara Ingrid Odash, LMHC
Title
Owner
Phone
(253) 307-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3208 50TH Street CT
Gig Harbor, WA 98335-8590

Mailing address

PO Box 670
Lakebay, WA 98349-0670

National Provider Directory

National Provider Directory

Locations

3208 50th Street Ct
Gig Harbor, WA 98335
Phone (253) 307-9339

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1982479457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983490670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 50TH STREET CT",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358590",
            "telephone_number": "253-307-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATERS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ODASH",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-307-9339",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 15, 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.