Individual provider Active NPI

Gavriele Shoshanna Greenwald, LMHC

  • Counselor
  • Bellingham, WA
National Provider Identifier
1992156038
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2 Marigold Dr Unit 41
Bellingham, WA 98229-2798
Phone
(360) 328-7040
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WA Primary

Addresses

Primary practice location

2 Marigold Dr Unit 41
Bellingham, WA 98229-2798

Mailing address

1440 10TH St Ste 101B
Bellingham, WA 98225-7043
Phone (360) 328-7040

Other practice location 1

1440 10th St Ste 101B
Bellingham, WA 98225-7043
Phone (360) 328-7040

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

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1992156038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 10TH ST STE 101B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257043",
            "telephone_number": "360-328-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARIGOLD DR UNIT 41",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292798",
            "telephone_number": "360-328-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 10th St Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257043",
            "country_code": "US",
            "telephone_number": "360-328-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "GAVRIELE",
        "middle_name": "SHOSHANNA",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.