IndividualActive
Damian Gennette, MDIV
NPI 1811026602 · Mental Health Counselor · Tacoma, WA
Provider details
- NPI number
- 1811026602
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MDIV
- Sex
- Male
- Sole proprietor
- Yes
- License
- LH00003696 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2412 N 30th St
Suite 102
Tacoma, WA 98407-6300
Phone: (253) 732-2588
Fax: (253) 732-2588
Street-level locationGet directions
Mailing address
2412 N 30th St
Tacoma, WA 98407-6300
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2014-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.