Isabelle Rosa Grogan, MC61588552

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61588552 Issued in WA

Practice address

11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600

Phone

(206) 589-8200

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194557850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 130TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980582828",
            "telephone_number": "253-533-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334600",
            "telephone_number": "206-589-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "ISABELLE",
        "middle_name": "ROSA",
        "credential": "MC61588552",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61588552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Grimm
• Darlene Elaine Grinde, RN
• Jacquelyn S Grizzard
• Emily L Grob, ARNP
• Caitlin Groden, P.T.
• Matthew Groome
• Austin M Gross, M.D.
• Grounding Wellness, LLC
• Margaret Gruber
• Doan Nguyen Grudzien

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.