Individual provider Active NPI

Griselda Coreas, LMFT

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1073271219
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204220 Issued in TX
Practice address
22547 NE Alder Crest LN
Redmond, WA 98053-5801
Phone
(832) 503-0284
NPI assigned
Dec 6, 2021
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204220 TX Primary

Addresses

Primary practice location

22547 NE Alder Crest LN
Redmond, WA 98053-5801

Mailing address

22547 NE Alder Crest LN
Redmond, WA 98053-5801
Phone (832) 503-0284

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

LicenseStateTypeSpecialty
204220TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Outpatient and Wellness PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1073271219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22547 NE ALDER CREST LN",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535801",
            "telephone_number": "832-503-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22547 NE ALDER CREST LN",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535801",
            "telephone_number": "832-503-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREAS",
        "first_name": "GRISELDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.