Individual provider Active NPI

William F Grimsman, MA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1467458554
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00049016 Issued in WA
Practice address
619 N. 35TH St.
Suite 317
Seattle, WA 98103-8642
Phone
(206) 919-1874
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00049016 WA Primary

Addresses

Primary practice location

619 N. 35TH St.
Suite 317
Seattle, WA 98103-8642

Mailing address

619 N. 35TH St.
Suite 317
Seattle, WA 98103-8642
Phone (206) 919-1874

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 Arts

State licenses

LicenseStateTypeSpecialty
RC00049016WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1467458554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N. 35TH ST.",
            "address_2": "SUITE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038642",
            "telephone_number": "206-919-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N. 35TH ST.",
            "address_2": "SUITE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038642",
            "telephone_number": "206-919-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSMAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00049016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.