Active NPI
Stephen P Grant, LMHCA
- Mental Health Counselor
- Camas, WA
National Provider Identifier
1821548801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC 60689265
- Practice address
- 4824 NW 38TH Ave
Camas, WA 98607-5400 - Phone
- (503) 464-6004
- NPI assigned
- Oct 13, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC 60689265 | WA | Primary |
Addresses
Primary practice location
4824 NW 38TH Ave
Camas, WA 98607-5400
Mailing address
4824 NW 38TH Ave
Camas, WA 98607-5400
Phone (503) 464-6004
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 |
|---|---|---|---|
| MC 60689265 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1821548801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 NW 38TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986075400",
"telephone_number": "503-464-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 NW 38TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986075400",
"telephone_number": "503-464-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "STEPHEN",
"middle_name": "P",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC 60689265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.