DANI MADISON GILLIS I SUDP-T
NPI 1912604166
Counselor - Addiction (Substance Use Disorder) in Bellevue, WA

Active since February 08, 2023
3805 108TH AVE NE STE 102, BELLEVUE, WA 98004(425) 242-1713 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 27, 2024, Jun 18, 2024, Feb 8, 2023 (3 updates tracked since 2023).

About Dani Madison Gillis I Sudp-t NPPES

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

DANI MADISON GILLIS I SUDP-T (NPI 1912604166) is an individual addiction (substance use disorder) provider in Bellevue, Washington, licensed in Washington (61414893) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1912604166
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDANI MADISON GILLIS ICredential: SUDP-T
Location Address3805 108TH AVE NE STE 102Bellevue, WA 98004-7613
Mailing Address11704 Ambaum Blvd SwBurien, WA 98146-4604 · (206) 233-3644
Sole ProprietorNo
Enumeration DateFebruary 8, 2023
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1912604166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · 61414893
Also ListedCounselorTaxonomy 101Y00000X
3805 108TH AVE NE STE 102, Bellevue, WA 98004

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
3805 108TH AVE NE STE 102
BELLEVUE, WA 98004

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 Dani Gillis's NPI number?

The NPI number for Dani Gillis is 1912604166. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Dani Gillis located?

Dani Gillis practices at 3805 108th Ave NE Ste 102, Bellevue, WA 98004. The listed phone number is (425) 242-1713.

What is Dani Gillis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dani Gillis was last updated on June 27, 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.