Active NPI
Debra Gruber, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1053732073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60491433
- Practice address
- 3417 Evanston Ave N Ste 517
Seattle, WA 98103-8972 - Phone
- (206) 782-1997
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC 60164861 | WA | |
| Mental Health Counselor | 101YM0800X | LH60491433 | WA | Primary |
Addresses
Primary practice location
3417 Evanston Ave N Ste 517
Seattle, WA 98103-8972
Mailing address
3417 Evanston Ave N Ste 517
Seattle, WA 98103-8972
Phone (206) 782-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90-0882496 | Other | WA | UBI # 603011744 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60491433 | WA | MD | Mental Health Counselor |
| MC 60164861 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1053732073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 EVANSTON AVE N STE 517",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038972",
"telephone_number": "206-782-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 EVANSTON AVE N STE 517",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038972",
"telephone_number": "206-782-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "DEBRA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC 60164861",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60491433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI # 603011744",
"identifier": "90-0882496",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.