Active NPI
Laurel Granger, M.A., L.M.H.C
- Mental Health Counselor
- Renton, WA
National Provider Identifier
1013301456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60441308
- Practice address
- 1900 S Puget Dr
Suite 205
Renton, WA 98055-4421 - Phone
- (425) 736-1604
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 60441308 | WA | Primary |
Addresses
Primary practice location
1900 S Puget Dr
Suite 205
Renton, WA 98055-4421
Mailing address
1900 S Puget Dr
Suite 205
Renton, WA 98055-4421
Phone (425) 736-1604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2025 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60441308 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1013301456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S PUGET DR",
"address_2": "SUITE 205",
"city": "RENTON",
"state": "WA",
"postal_code": "980554421",
"telephone_number": "425-736-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S PUGET DR",
"address_2": "SUITE 205",
"city": "RENTON",
"state": "WA",
"postal_code": "980554421",
"telephone_number": "425-736-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "LAUREL",
"credential": "M.A., L.M.H.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60441308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.