Individual provider Active NPI

Doret Monica Greathouse, CASE MANAGER

  • Case Manager/Care Coordinator
  • Seattle, WA
National Provider Identifier
1942770896
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CG60835638 Issued in WA
Practice address
2133 3Rd Ave Ste 116
Seattle, WA 98121-2353
Phone
(206) 432-3575
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1942770896 WA
Case Manager/Care Coordinator 171M00000X CG60835638 WA Primary

Addresses

Primary practice location

2133 3Rd Ave Ste 116
Seattle, WA 98121-2353

Mailing address

2133 3Rd Ave
Seattle, WA 98121-2385
Phone (206) 432-3574

Other names 1

  • Doret Monica Greathouse Former name

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

LicenseStateTypeSpecialty
1942770896WAMDCounselor
CG60835638WAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Reach PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1942770896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212385",
            "telephone_number": "206-432-3574",
            "fax_number": "206-432-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 3RD AVE STE 116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212353",
            "telephone_number": "206-432-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "DORET",
        "middle_name": "MONICA",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "1942770896",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60835638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORET",
            "last_name": "GREATHOUSE",
            "middle_name": "MONICA",
            "credential": "LCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.