Greater Lakes Mental Healthcare

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GREATER LAKES MENTAL HEALTHCARE

Practice address

9330 59TH Ave SW
Lakewood, WA 98499-2858

Phone

(253) 620-5033

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mayumi Matsuno

Title

Case Manager

Phone

(253) 620-5033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871618322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S 238TH LN # 603",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 59TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992858",
            "telephone_number": "253-620-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAKES MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATSUNO",
        "authorized_official_first_name": "MAYUMI",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "253-620-5033"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Gray, MD
• Pharaoh Grayson
• Greater Lakes
• Greater Lakes Mental Health
• Greater Lakes Mental Health Foundation Inc
• Greaterlakes Mental Health Care
• Bryan Green
• Kayla Ariel Green
• Keishelle Green
• Nivea Green, HS

• Marriage & Family Therapist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.