Active NPI
Grace Joy Tallungan Perea, MS, LMHCA
- Mental Health Counselor
- Lakewood, WA
National Provider Identifier
1376385609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61480592
- Practice address
- 9018 Gramercy PL SW
Lakewood, WA 98498-5936 - Phone
- (206) 397-2802
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- 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 | MC61480592 | WA | Primary |
Addresses
Primary practice location
9018 Gramercy PL SW
Lakewood, WA 98498-5936
Mailing address
9018 Gramercy PL SW
Lakewood, WA 98498-5936
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61480592 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1376385609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9018 GRAMERCY PL SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984985936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9018 GRAMERCY PL SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984985936",
"telephone_number": "206-397-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "GRACE JOY",
"middle_name": "TALLUNGAN",
"credential": "MS, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61480592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.