TIMOTHY ALLE GRISWOLD
NPI 1073260410
Counselor - Mental Health in Covington, WA

Active since March 06, 2022Opted out of Medicare · through Aug 2, 2026
27121 174TH PL SE STE 101, COVINGTON, WA 98042(253) 867-4495(253) 867-8756 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Alle Griswold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY ALLE GRISWOLD (NPI 1073260410) is an individual mental health provider in Covington, Washington and active in the NPI registry since March 2022. He has opted out of Medicare through August 2, 2026.

NPPES Registry Identity

NPI1073260410
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY ALLE GRISWOLD
Location Address27121 174TH PL SE STE 101Covington, WA 98042-4939
Mailing Address27121 174th Pl Se Ste 101Covington, WA 98042-4939 · (253) 867-4495 · Fax (253) 867-8756
Fax(253) 867-8756
Sole ProprietorYes
Enumeration DateMarch 6, 2022
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1073260410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
27121 174TH PL SE STE 101, Covington, WA 98042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Timothy Alle Griswold has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2024 through August 2, 2026.

Opt-Out Effective DateAugust 2, 2024
Opt-Out In Effect ThroughAugust 2, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
27121 174TH PL SE STE 101
COVINGTON, WA 98042
Marriage & Family Therapist
27121 174TH PL SE STE 101
COVINGTON, WA 98042
Community/Behavioral Health
27121 174TH PL SE STE 101
COVINGTON, WA 98042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Griswold's NPI number?

The NPI number for Timothy Griswold is 1073260410. It was assigned to this individual provider in the NPPES registry on March 6, 2022.

Where is Timothy Griswold located?

Timothy Griswold practices at 27121 174th Pl SE Ste 101, Covington, WA 98042. The listed phone number is (253) 867-4495.

What is Timothy Griswold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Timothy Griswold enrolled in Medicare?

No. Timothy Griswold has opted out of Medicare through August 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Timothy Griswold was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.