Organization Active NPI

Growwell Behavioral Support PLLC

  • Behavior Analyst
  • Lakewood, WA
National Provider Identifier
1477427128
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GROWWELL BEHAVIORAL SUPPORT PLLC
Practice address
6609 87TH St SW
Lakewood, WA 98499-2549
Phone
(253) 439-7690
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Mrs. Mary Grace Menchero Mitchell, BCBANPI 1851882096
Title
Owner
Phone
(253) 439-7690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6609 87TH St SW
Lakewood, WA 98499-2549

Mailing address

6609 87TH St SW
Lakewood, WA 98499-2549
Phone (253) 439-7690

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1477427128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 87TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992549",
            "telephone_number": "253-439-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 87TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992549",
            "telephone_number": "253-439-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWWELL BEHAVIORAL SUPPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARY GRACE",
        "authorized_official_middle_name": "MENCHERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-439-7690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Oct 3, 2025; 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.