Organization Active NPI

Branching Out Wellbeing, LLC

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1831888775
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRANCHING OUT WELLBEING, LLC
Practice address
19011 68TH Ave S Ste A109
Kent, WA 98032-2108
Phone
(206) 603-5411
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Mr. Grayson Patrick Lein, LH61391989NPI 1366084113
Title
Co-Owner; LMHC
Phone
(425) 923-7640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

19011 68TH Ave S Ste A109
Kent, WA 98032-2108

Mailing address

19011 68TH Ave S Ste A109
Kent, WA 98032-2108
Phone (206) 603-5411

National Provider Directory

National Provider Directory

Locations

19011 68th Ave S
Ste A109
Kent, WA 98032
Phone (206) 603-5411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1831888775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 68TH AVE S STE A109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322108",
            "telephone_number": "206-603-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 68TH AVE S STE A109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322108",
            "telephone_number": "206-603-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHING OUT WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "LEIN",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CO-OWNER; LMHC",
        "authorized_official_telephone_number": "425-923-7640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LH61391989"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.