Active NPI
Griselda Hall
- Addiction (Substance Use Disorder) Counselor
- Olympia, WA
National Provider Identifier
1710656277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61203952
- Practice address
- 2323 Kerrysdale Dr SE
Olympia, WA 98513-3493 - Phone
- (360) 972-0291
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61203952 | WA | Primary |
Addresses
Primary practice location
2323 Kerrysdale Dr SE
Olympia, WA 98513-3493
Mailing address
2323 Kerrysdale Dr SE
Olympia, WA 98513-3493
Phone (360) 972-0291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO61203952 | Other | WA | SUBSTANCE USE COUNSELING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CO61203952 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genuine Healthcare, PLLC | Current | Accepting new patients |
Locations
1800 Cooper Point Rd SW
Ste 19
Olympia, WA 98502
Phone (360) 972-0290
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Olympia, WA
- NPI 1952958803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1710656277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 KERRYSDALE DR SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985133493",
"telephone_number": "360-972-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 KERRYSDALE DR SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985133493",
"telephone_number": "360-972-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GRISELDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61203952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE USE COUNSELING",
"identifier": "CO61203952",
"state": "WA"
}
],
"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 Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.