Active NPI
Tracey Grady, LMHC
- Mental Health Counselor
- Marysville, WA
National Provider Identifier
1437506706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC 60632357
- Practice address
- 1720 Grove St
Marysville, WA 98270-4328 - Phone
- (206) 715-0422
- NPI assigned
- May 17, 2016
- Last updated
- May 20, 2022
- Sex
- Female
- 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 | MC 60632357 | WA | Primary |
Addresses
Primary practice location
1720 Grove St
Marysville, WA 98270-4328
Mailing address
111 N 182ND St
Shoreline, WA 98133-4308
Phone (206) 715-0422
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 |
|---|---|---|---|
| MC 60632357 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1437506706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 182ND ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334308",
"telephone_number": "206-715-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 GROVE ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704328",
"telephone_number": "206-715-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2022-05-20",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC 60632357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
- Grace Bible Church of Marysville (Grace Academy)
- Grace Connection Services
- Grace Cortes-Stefanovic, OD PLLC (GrandView Optometry)
- Grace Health Clinic and Urgent Care LLC
- Grace Health Clinic and Urgent Care LLC
- Susy Granados, MA60876400
- Kerianne Marie Grant
- Cameryn Elizabeth-Anne Grassanovits, PA-C
- Audrey Gray, MD
- Green Hill View Afh LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.