Active NPI
Linda Clare Grossman, LPC, CADCIII, LMHC
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1104085430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4601
- Practice address
- 318 N Knoxville Way
Vancouver, WA 98664-1210 - Phone
- (541) 351-5589
- NPI assigned
- Jun 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13-12-78 | OR | |
| Mental Health Counselor | 101YM0800X | C4601 | OR | Primary |
Addresses
Primary practice location
318 N Knoxville Way
Vancouver, WA 98664-1210
Mailing address
318 N Knoxville Way
Vancouver, WA 98664-1210
Phone (541) 351-5589
Other practice location 1
51 SW Lee St
Newport, OR 97365-3823
Phone (541) 574-5960
Other practice location 2
4422 NE Devils Lake Blvd
Suite 2
Lincoln City, OR 97367-5000
Phone (541) 265-4196
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 |
|---|---|---|---|
| C4601 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1104085430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 N KNOXVILLE WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641210",
"telephone_number": "541-351-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 N KNOXVILLE WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641210",
"telephone_number": "541-351-5589"
}
],
"practiceLocations": [
{
"address_1": "51 SW Lee St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973653823",
"country_code": "US",
"telephone_number": "541-574-5960",
"fax_number": "541-265-0601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4422 NE Devils Lake Blvd",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Lincoln City",
"state": "OR",
"postal_code": "973675000",
"country_code": "US",
"telephone_number": "541-265-4196",
"fax_number": "541-994-1882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LINDA",
"middle_name": "CLARE",
"name_prefix": "Ms.",
"credential": "LPC, CADCIII, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "13-12-78",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.