NPIMap

Organization Active NPI

County of Grant

Doing business as Grant Mental Healthcare

  • Mental Health Counselor
  • Moses Lake, WA
National Provider Identifier
1689677833
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNTY OF GRANT
Doing business as
Grant Mental Healthcare
Practice address
840 E Plum St
Moses Lake, WA 98837-1874
Phone
(509) 765-9239
Fax
(509) 765-4124
NPI assigned
May 23, 2005
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Mr. Leroy Allison
Title
Executive Director
Phone
(509) 765-9239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

840 E Plum St
Moses Lake, WA 98837-1874

Mailing address

840 E Plum St
Moses Lake, WA 98837-1874
Phone (509) 765-9239

Other names 1

  • Grant Mental Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060310000220 WA Part B Supplier - Clinic/Group Practice 7911895867 Receives reassigned benefits from 10 practitioners
Practice locations: Moses Lake, WA; Quincy, WA

National Provider Directory

National Provider Directory
Tax ID family
Grant County Fire Dist6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 261

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.

View all 261

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1689677833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E PLUM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371874",
            "telephone_number": "509-765-9239",
            "fax_number": "509-765-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E PLUM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371874",
            "telephone_number": "509-765-9239",
            "fax_number": "509-765-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-765-9239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Mental Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.