Active NPI
Phyllis Lorraine Grant, LMHC
- Mental Health Counselor
- Wellpinit, WA
National Provider Identifier
1083849129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004949
- Practice address
- 6228 Old School Rd.
Wellpinit, WA 99040 - Phone
- (509) 258-7502
- Fax
- (509) 258-7029
- NPI assigned
- May 19, 2009
- 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 | LH00004949 | WA | Primary |
Addresses
Primary practice location
6228 Old School Rd.
Wellpinit, WA 99040
Mailing address
6228 Old School Rd.
Wellpinit, WA 99040
Phone (509) 258-7502
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 |
|---|---|---|---|
| LH00004949 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1083849129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6228 OLD SCHOOL RD.",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "99040",
"telephone_number": "509-258-7502",
"fax_number": "509-258-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6228 OLD SCHOOL RD.",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "99040",
"telephone_number": "509-258-7502",
"fax_number": "509-258-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "PHYLLIS",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellpinit, WA
- David C Wynecoop Memorial Clinic Pharmacy
- David C Wynecoop Memorial Health Center Pharmacy
- Lee Roy Arrogante Esposo, PHARMD
- Joelena Marie Ford, CPSST
- Vincent John Frattali, D. D. S.
- Robert Joseph Hayward, CDPT
- Tracy Lee Hesler, FNP
- James Charles Jordan, PHARMD
- Mark Jurges, PHARM D
- Margaret Julie Koepping, RN-BC, MN, F.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.