Active NPI
Jeffrey J Grasser, LPC
- Mental Health Counselor
- Palmer, AK
National Provider Identifier
1104844075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 327
- Practice address
- 2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457 - Phone
- (907) 761-5800
- Fax
- (907) 761-5801
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 | 327 | AK | Primary |
Addresses
Primary practice location
2250 S Woodworth Loop
Suite 202
Palmer, AK 99645-7457
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
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 |
|---|---|---|---|
| 327 | AK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Past | Accepting new patients | |
| Providence Health & Services - Washington | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
Mental Health
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1104844075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S WOODWORTH LOOP",
"address_2": "SUITE 202",
"city": "PALMER",
"state": "AK",
"postal_code": "996457457",
"telephone_number": "907-761-5800",
"fax_number": "907-761-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSER",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.