Corey Gene Griggs

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9121 Issued in OR

Practice address

18809 Willamette Dr
West Linn, OR 97068-1711

Phone

(971) 201-5125

NPI assigned

Feb 23, 2023

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Living Well Counseling Center, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1013763770
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1881393387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18809 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681711",
            "telephone_number": "971-201-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18809 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681711",
            "telephone_number": "971-201-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "COREY",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9121",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500830925",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Grant
• Jessica Marie Greenleaf, LMT
• Gregory L. Combs, M.D., P.C.
• John Howard Gregory, CERTIFIED ORTHOTIST
• Gresham Family Care Inc (Care Plus You)
• Frank M Gruner, FRANK GRUNER
• Gregory Gullo, MD
• Addie Teller Hahn, L.M.T., C.C.L.S.
• Emily Hansen, LMT
• Kelly Moore Harman, PTA

• Mental Health Counselor in West Linn, OR
• Providers in West Linn, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.