Great Northern Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GREAT NORTHERN CONSULTING

Practice address

1801 D St Ste 4
Vancouver, WA 98663-3376

Phone

(253) 449-8033

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Elena Chumak

Title

Finance Manager

Phone

(253) 292-6391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Northern Therapy Associates Doing business as

Locations

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1831829605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 D ST STE 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633376",
            "telephone_number": "100-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 D ST STE 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633376",
            "telephone_number": "253-449-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NORTHERN CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "CHUMAK",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "253-292-6391"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH THERAPY",
            "identifier": "NA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Northern Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darcy Graybill-Tillman
• Diane P Graybill, RN
• Jordan Graybill, M.D.
• Shelley Ann Graybill, LMP
• Stephen Greaney, M.D.
• Great West Family Care PC
• Green Haven Home Care LLC
• Annika Green
• Baroven Clark Green, RN
• Christine B Green, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.