Organization Active NPI

Gresia Counseling & Wellness, PLLC

  • Clinical Social Worker
  • Tumwater, WA
National Provider Identifier
1639763949
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRESIA COUNSELING & WELLNESS, PLLC
Practice address
204 Custer Way SW Ste B5
Tumwater, WA 98501-3330
Phone
(360) 250-0960
NPI assigned
Feb 26, 2021
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Susan Pilar Gresia, LICENSED SOCIAL WORKNPI 1831653179
Title
Owner
Phone
(360) 250-0960

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

204 Custer Way SW Ste B5
Tumwater, WA 98501-3330

Mailing address

204 Custer Way SW Ste B5
Tumwater, WA 98501-3330
Phone (360) 250-0960

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL susan.gresia@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609000663 WA Part B Supplier - Clinic/Group Practice 7113327487 Receives reassigned benefits from 1 practitioner
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Locations

204 Custer Way SW
Ste B5
Tumwater, WA 98501
Phone (360) 250-0960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1639763949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CUSTER WAY SW STE B5",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013330",
            "telephone_number": "360-250-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CUSTER WAY SW STE B5",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013330",
            "telephone_number": "360-250-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESIA COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "GRESIA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-250-0960",
        "authorized_official_credential": "LICENSED SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "susan.gresia@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mailing address",
            "address_1": "204 Custer Way SW Ste B5",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985013330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.