Doralissa R. Griffin, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60484698 Issued in WA

Practice address

7614 195TH St SW Ste 101
Edmonds, WA 98026-6260

Phone

(425) 775-4059

NPI assigned

Dec 8, 2010

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lissa Griffin Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestone Psychological Services LLCGroup PAC ID 6305174806, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1811269624
  Medicare reassignment Care Compare group NPD
• Inari Counseling Services

  • Mental Health Counselor
  • Everett, WA
  • NPI 1114373529
  Authorized official Same address or phone

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1457654741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 35TH AVE W APT G35",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875018",
            "telephone_number": "425-478-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 195TH ST SW STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266260",
            "telephone_number": "425-775-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DORALISSA",
        "middle_name": "R.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-06-03",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60484698",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISSA",
            "last_name": "GRIFFIN",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan Larry Gregory, D.C.
• Montana Gregory, M.A., CCC-SLP
• Julie Anne Gregoryk, MSPT
• Jordan Marie Grey, MD
• Daniel James Gribbin, D.C.
• Beth Ann Griffith, LICSW
• Gianetta Griffitts, LMFTA
• Michele Grindstaff, ND
• Sarah Groen-Colyn, PHD
• Martha Haring Groesschell, PSY.D.

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, 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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.