Active NPI
Melany Grout, MA, JD
- Counselor
- Seattle, WA
National Provider Identifier
1992311377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC61178753
- Practice address
- 3103 Eastlake Ave E
Seattle, WA 98102-3801 - Phone
- (206) 486-0239
- NPI assigned
- Sep 21, 2020
- Last updated
- Dec 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61178753 | WA | Primary |
Addresses
Primary practice location
3103 Eastlake Ave E
Seattle, WA 98102-3801
Mailing address
3103 Eastlake Ave E
Seattle, WA 98102-3801
Phone (206) 486-0239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 13, 2025 through Jan 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61178753 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639785600000",
"number": "1992311377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023801",
"telephone_number": "206-486-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023801",
"telephone_number": "206-486-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROUT",
"first_name": "MELANY",
"credential": "MA, JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2021-12-18",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61178753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.