LANI ANN KISH BS
NPI 1568970721
Counselor - Mental Health in Gig Harbor, WA

Active since January 22, 2018Opted out of Medicare · through Jan 6, 2028
6626 WAGNER WAY STE 200, GIG HARBOR, WA 98335(253) 858-2224(253) 858-2254 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2021, Sep 4, 2019 (2 updates tracked since 2019).

About Lani Ann Kish Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANI ANN KISH BS (NPI 1568970721) is an individual mental health provider in Gig Harbor, Washington, licensed in Washington (LH61152575) and active in the NPI registry since January 2018. She has opted out of Medicare through January 6, 2028.

NPPES Registry Identity

NPI1568970721
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLANI ANN KISHCredential: BS
Location Address6626 WAGNER WAY STE 200Gig Harbor, WA 98335-6904
Mailing Address6626 Wagner Way Ste 200Gig Harbor, WA 98335-6904 · (253) 858-2224 · Fax (253) 858-2254
Fax(253) 858-2254
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
NPI 1568970721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH61152575
6626 WAGNER WAY STE 200, Gig Harbor, WA 98335

Other Names 1

Former Name (1)Lani Ann Young

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lani Ann Kish Bs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2024 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2024
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6626 WAGNER WAY STE 200
GIG HARBOR, WA 98335
Marriage & Family Therapist
6626 WAGNER WAY STE 200
GIG HARBOR, WA 98335
Counselor (Professional)
6626 WAGNER WAY STE 200
GIG HARBOR, WA 98335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568970721, enumerated as an "individual" on January 22, 2018.

The provider is located at 6626 WAGNER WAY STE 200 GIG HARBOR, WA 98335 and the phone number is (253) 858-2224.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.