Individual provider Active NPI

Gregory Urquhart, PH.D.

  • Counseling Psychologist
  • Olympia, WA
National Provider Identifier
1558077644
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LH61368270 Issued in WA
Practice address
2401 Bristol CT SW Ste D101
Olympia, WA 98502-6037
Phone
(360) 878-9526
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LH61368270 WA Primary

Addresses

Primary practice location

2401 Bristol CT SW Ste D101
Olympia, WA 98502-6037

Mailing address

418 Carpenter Rd SE Ste 203
Lacey, WA 98503-7905
Phone (360) 878-9526

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH61368270WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Thrive Psychotherapy PLLC CurrentSince Jan 29, 2023 Accepting new patients
Thrive TMS, LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

418 Carpenter Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 878-9526

2401 Bristol Ct SW
Ste D101
Olympia, WA 98502
Phone (360) 763-6426

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1558077644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CARPENTER RD SE STE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037905",
            "telephone_number": "360-878-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRISTOL CT SW STE D101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026037",
            "telephone_number": "360-878-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUHART",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "LH61368270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.