Individual provider Active NPI

Rosamond Claire Valckenier de Greeve, RN, MBA, PHD, MHP, S

  • Mental Health Counselor
  • Longview, WA
National Provider Identifier
1740847094
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG61450997 Issued in WA
Practice address
720 14TH Ave
Longview, WA 98632
Phone
(360) 423-0203
Fax
(360) 423-5086
NPI assigned
May 22, 2019
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61283128 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61362103 WA
Mental Health Counselor 101YM0800X CG61450997 WA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61283114 WA

Addresses

Primary practice location

720 14TH Ave
Longview, WA 98632

Mailing address

Columbia Wellness
PO Box 1847
Longview, WA 98632
Phone (360) 353-9369

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
Master of Business Administration, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CO61362103WAMDAddiction (Substance Use Disorder) Counselor
CG61450997WAMDMental Health Counselor
RN61283114WAMDPsychiatric/Mental Health Registered Nurse
AP61283128WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Wellness CurrentSince Jun 25, 2023 Accepting new patients
Celebrity Homehealth Inc. Past Accepting new patients
Awakenings, Inc Addiction (Substance Use Disorder) PastSince Dec 18, 2022 Accepting new patients

Locations

720 14th Ave
Longview, WA 98632

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1740847094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLUMBIA WELLNESS",
            "address_2": "PO BOX 1847",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-353-9369",
            "fax_number": "360-577-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-0203",
            "fax_number": "360-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCKENIER DE GREEVE",
        "first_name": "ROSAMOND",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "RN, MBA, PHD, MHP, S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61283128",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61362103",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61450997",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61283114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

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