Individual provider Active NPI

Alyssa Krystelle Griskiewicz, LMHC, ATR-BC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1518589746
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60926995 Issued in WA
Practice address
3301 Burke Ave N
Seattle, WA 98103-9054
Phone
(508) 523-9691
NPI assigned
May 11, 2020
Last updated
May 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60926995 WA Primary
Art Therapist 221700000X 16-052 NU

Addresses

Primary practice location

3301 Burke Ave N
Seattle, WA 98103-9054

Mailing address

2904 NE 130TH St
Seattle, WA 98125-4341
Phone (508) 523-9691

Other practice location 1

12025 115th Ave NE Ste 20
Kirkland, WA 98034-6942
Phone (508) 523-9691

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

LicenseStateTypeSpecialty
LH60926995WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1518589746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 NE 130TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254341",
            "telephone_number": "508-523-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BURKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039054",
            "telephone_number": "508-523-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 115th Ave NE Ste 20",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346942",
            "country_code": "US",
            "telephone_number": "508-523-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISKIEWICZ",
        "first_name": "ALYSSA",
        "middle_name": "KRYSTELLE",
        "credential": "LMHC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60926995",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": "16-052",
            "primary": false
        }
    ],
    "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 May 11, 2020; 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.