MR. MATT R GULLETT (NPI# 1497030704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497030704 |
| Entity Type | Individual |
| Full Name | MR. MATT R GULLETT |
| Credential | M.A., LMHC, MHP |
| Practice Address |
1323 Yakima Ave Tacoma WA 98405-4457 |
| Practice Telephone | 2535022699 |
| Practice Fax Number | 2535022757 |
| Mailing Telephone | 2535022699 |
| Mailing Fax Number | 2535022757 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60474055 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1323 YAKIMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1770119828 | Suzanne Marie Parenteau | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2020-03-20 |
| 1104452606 | Giovanna Mccullough | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2020-03-16 |
| 1467827386 | Sean Williams | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2015-12-03 |
| 1174885073 | James Thomas Anderson | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1679835573 | Sam Joseph Erwin-svoboda | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1063774966 | Nicholas John Leider | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2012-06-15 |
| 1023242740 | Miranda Lynn Plyler | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2009-05-08 |
| 1487878716 | Cathy Kirk | Marriage & Family Therapist | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-04-11 |
| 1801925417 | Susan Gail Mix | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
| 1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
| 1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
| 1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
| 1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
| 1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
| 1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
| 1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.