Kendra Metz Gritsch, MSW, LSWAIC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SC61249878 Issued in WA

Practice address

12708 1St Ave NW
Seattle, WA 98177-4222

Phone

(206) 465-1851

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1144948365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774222",
            "telephone_number": "206-465-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774222",
            "telephone_number": "206-465-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITSCH",
        "first_name": "KENDRA",
        "middle_name": "METZ",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC61249878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "12708 1st Ave NW",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981774222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenrodric Grissom
• Kimberly Grissom
• Anna Brown Griswold, LMHCA
• Cassia Rae Griswold, PHARMD
• Ruby Griswold
• Jamie Gritzan
• Petros Grivas, M.D.
• Lascelle Clarence Grizzle, REGISTERED NURSE
• Carolyn Margaret Grob, M.A.
• Dianne Grob, LMHC

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.