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CONQUER
NPI 1255001624
Clinic/Center - Multi-Specialty in Monroe, WA

Active since September 17, 2021CLIA 50D2331135 · Waiver
809 W MAIN ST STE C, MONROE, WA 98272(206) 552-0882(844) 440-2147 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Jun 26, 2024, Jun 12, 2024 and 2 more (5 updates tracked since 2021).

About Conquer NPPES

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

CONQUER (NPI 1255001624) is a healthcare organization registered as a multi-specialty in Monroe, Washington and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Oak Harbor, and lists Jacob Grillo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255001624
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCONQUER ADDICTION PLLC
Location Address809 W MAIN ST STE CMonroe, WA 98272-2172
Mailing Address809 W Main St Ste CMonroe, WA 98272-2172 · (206) 552-0882
Phone(206) 552-0882
Fax(844) 440-2147
Organization SubpartNo
Authorized OfficialJacob GrilloCeo · (425) 387-1863
Enumeration DateSeptember 17, 2021
Last NPPES UpdateOctober 11, 20245 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1255001624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedTaxiTaxonomy 344600000X
809 W MAIN ST STE C, Monroe, WA 98272
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Other Names 1

Doing Business AsConquer

Secondary Practice Location 1

Location 1791 SE Barrington DrOak Harbor, WA 98277-3278 · Phone (206) 552-0882

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2331135

Conquer · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2331135
Laboratory TypeCity Jail
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJacob Grillo
Laboratory Phone(206) 552-0882
Laboratory LocationConquer311 W Pioneer, Room 01, Puyallup, WA 98371
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MIKEL WASSEMILLER
Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
JACOB ADAM GRILLO PA-C
Physician Assistant (Medical)
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
MRS. JOAN MARIE DAVES
Case Manager/Care Coordinator
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
SHIRLEY E KARLSEN RN
Registered Nurse
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
DELIA ANN LARRY
Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
ROGER C WHITE JR.
Peer Specialist
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
AMBYR BERMAN MACP
Counselor (Mental Health)
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
MICHAEL ROBERT DOUGLAS
Counselor (Mental Health)
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882

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 Conquer Addiction PLLC's NPI number?

The NPI number for Conquer Addiction PLLC is 1255001624. It was assigned to this organization in the NPPES registry on September 17, 2021. The provider is doing business as Conquer.

Where is Conquer Addiction PLLC located?

Conquer Addiction PLLC is located at 809 W Main St Ste C, Monroe, WA 98272. The listed phone number is (206) 552-0882.

What is Conquer Addiction PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Conquer Addiction PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2331135) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conquer Addiction PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Conquer Addiction PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Conquer Addiction PLLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.