GREENBRIDGE HEALTH CLINIC
NPI 1386473551
Nurse Practitioner - Psychiatric/Mental Health in Kennewick, WA

Active since July 29, 2024CLIA 50D2317102 · Waiver
4256 W 24TH AVE, STE 101, KENNEWICK, WA 99338(509) 802-3664 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Greenbridge Health Clinic NPPES

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

GREENBRIDGE HEALTH CLINIC (NPI 1386473551) is a healthcare organization registered as a psychiatric/mental health in Kennewick, Washington and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Miriam Okochi, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1386473551
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGREENBRIDGE HEALTH CLINIC
Location Address4256 W 24TH AVE, STE 101Kennewick, WA 99338-7171
Mailing Address2560 Casa Bella AveRichland, WA 99352-5527 · (708) 916-5798
Organization SubpartNo
Authorized OfficialMiriam OkochiPmhnp · (708) 916-5798
Enumeration DateJuly 29, 2024
Last NPPES UpdateJanuary 18, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2025
✔ NPI 1386473551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4256 W 24TH AVE, Kennewick, WA 99338

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenbridge Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greenbridge Health Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1447917943
1812 EAST EDISON AVE
Sunnyside, WA 98944
(509) 712-3295
✔ PECOS✔ Accepts Medicare40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 50D2317102

Greenbridge Health Clinic · Kennewick, WA
Active · expires Apr 4, 2028
CLIA Number50D2317102
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorValentine Okochi
Laboratory Phone(509) 802-3664
Laboratory LocationGreenbridge Health Clinic4256 W 24th Ave Ste 101, Kennewick, WA 99338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greenbridge Health Clinic's NPI number?

The NPI number for Greenbridge Health Clinic is 1386473551. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Greenbridge Health Clinic located?

Greenbridge Health Clinic is located at 4256 W 24th Ave Ste 101, Kennewick, WA 99338. The listed phone number is (509) 802-3664.

What is Greenbridge Health Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Greenbridge Health Clinic enrolled in Medicare?

Yes. Greenbridge Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenbridge Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Greenbridge Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greenbridge Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2317102) 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 Greenbridge Health Clinic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Greenbridge Health Clinic 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 Greenbridge Health Clinic was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.