Individual provider Active NPI

Terri Larae Griswold-Dodgson

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1740667104
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010917 Issued in IL
Practice address
601 Mack St
Joliet, IL 60435-5923
Phone
(417) 343-0373
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61409067 WA
Professional Counselor 101YP2500X 12903813-6004 UT
Professional Counselor 101YP2500X LH61409067 WA
Professional Counselor 101YP2500X 49347. MT
Professional Counselor 101YP2500X 180.010917 IL Primary

Addresses

Primary practice location

601 Mack St
Joliet, IL 60435-5923

Mailing address

601 Mack St
Joliet, IL 60435-5923
Phone (417) 343-0373

Other practice location 1

10303 Meridian Ave N Ste 200
Seattle, WA 98133-9483
Phone (815) 782-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL, MT, UT, IA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240703003910 WA Practitioner - Mental Health Counselor 8820532633 Reassigns benefits to 3 organizations
I20240925001474 IL Practitioner - Mental Health Counselor 8820532633 Reassigns benefits to 2 organizations
I20241114001091 MT Practitioner - Mental Health Counselor 8820532633 Reassigns benefits to 1 organization
I20250217002952 UT Practitioner - Mental Health Counselor 8820532633 Reassigns benefits to 1 organization
I20251212002084 IA Practitioner - Mental Health Counselor 8820532633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61409067WAMDMental Health Counselor
180.010917ILMDProfessional Counselor
49347.MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Professional CurrentSince Feb 1, 2025 Accepting new patients
Trilife Counseling Services LLC CurrentSince Mar 11, 2025 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Feb 1, 2025 Accepting new patients
Thriveworks Clinical - Washington, PC Mental Health CurrentSince Jul 31, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 21, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

114 W Magnolia St
Ste 303
Bellingham, WA 98225

10303 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 588-5202

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 6

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1740667104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MACK ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355923",
            "telephone_number": "417-343-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MACK ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355923",
            "telephone_number": "417-343-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10303 Meridian Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339483",
            "country_code": "US",
            "telephone_number": "815-782-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISWOLD-DODGSON",
        "first_name": "TERRI",
        "middle_name": "LARAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61409067",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "12903813-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH61409067",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "49347.",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.