Active NPI
Janathan Grace, LMHC
- Mental Health Counselor
- Silverdale, WA
National Provider Identifier
1134734106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61258275
- Practice address
- 9119 Ridgetop Blvd NW Ste 220
Silverdale, WA 98383-8549 - Phone
- (360) 516-0728
- NPI assigned
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | LH61258275 | WA | Primary |
Addresses
Primary practice location
9119 Ridgetop Blvd NW Ste 220
Silverdale, WA 98383-8549
Mailing address
40 NE Skipper CT
Belfair, WA 98528-9258
Phone (434) 609-2004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 13, 2024 through Aug 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61258275 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1134734106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NE SKIPPER CT",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985289258",
"telephone_number": "434-609-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 RIDGETOP BLVD NW STE 220",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838549",
"telephone_number": "360-516-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "JANATHAN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61258275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.