Active NPI
Susan R. Grout, MA, LMHC
- Mental Health Counselor
- Friday Harbor, WA
National Provider Identifier
1508998477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00006806
- Practice address
- 580 Guard St
Suite a
Friday Harbor, WA 98250-8044 - Phone
- (360) 378-3212
- NPI assigned
- Mar 9, 2007
- 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 | LH00006806 | WA | Primary |
Addresses
Primary practice location
580 Guard St
Suite a
Friday Harbor, WA 98250-8044
Mailing address
580 Guard St.- P.O. Box 2373
Suite a
Friday Harbor, WA 98250-9665
Phone (360) 378-3212
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00006806 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508998477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 GUARD ST.- P.O. BOX 2373",
"address_2": "SUITE A",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509665",
"telephone_number": "360-378-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 GUARD ST",
"address_2": "SUITE A",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508044",
"telephone_number": "360-378-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROUT",
"first_name": "SUSAN",
"middle_name": "R.",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00006806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.