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TINA RENEE GILLESPIE LMHC
NPI 1871936807
Counselor in Poulsbo, WA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
20274 NW CEDAR LN, POULSBO, WA 98370(360) 564-9585 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Tina Renee Gillespie Lmhc NPPES

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

TINA RENEE GILLESPIE LMHC (NPI 1871936807) is an individual counselor in Poulsbo, Washington, licensed in Washington (LH60758087) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poulsbo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871936807
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTINA RENEE GILLESPIECredential: LMHC
Location Address20274 NW CEDAR LNPoulsbo, WA 98370-9703
Mailing Address20274 Nw Cedar LnPoulsbo, WA 98370-9703 · (360) 564-9585
Phone(360) 564-9585
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 9, 2013
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1871936807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · LH60758087
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
20274 NW CEDAR LN, Poulsbo, WA 98370
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Secondary Practice Location 1

Location 119980 10th Ave NEPoulsbo, WA 98370-6321 · Phone (360) 564-9585

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Renee Gillespie Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537667787
PECOS Enrollment IDI20250807003515
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tina Gillespie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
2,362 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Washington enrollment
  • 128 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Gillespie's NPI number?

The NPI number for Tina Gillespie is 1871936807. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Tina Gillespie located?

Tina Gillespie practices at 20274 NW Cedar Ln, Poulsbo, WA 98370. The listed phone number is (360) 564-9585.

What is Tina Gillespie's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tina Gillespie enrolled in Medicare?

Yes. Tina Gillespie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tina Gillespie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Gillespie reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Gillespie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Gillespie accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Tina Gillespie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Gillespie was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.