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KENRODRIC GRISSOM
NPI 1457088106
Counselor in Seattle, WA

Active since August 03, 2022
100 23RD AVE S, SEATTLE, WA 98144(206) 849-0614 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenrodric Grissom NPPES

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

KENRODRIC GRISSOM (NPI 1457088106) is an individual counselor in Seattle, Washington and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1457088106
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKENRODRIC GRISSOM
Location Address100 23RD AVE SSeattle, WA 98144-2302
Mailing Address12725 33rd Ave Ne Apt B501Seattle, WA 98125-8908 · (206) 849-0614
Phone(206) 849-0614
Sole ProprietorNo
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1457088106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
100 23RD AVE S, Seattle, WA 98144
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Other Providers at the Same Location NPPES 18

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

CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Case Management
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 323-6336
CARL BALLENGER
Counselor
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 328-5696
ROXANNE D CRAVENS
Counselor (Professional)
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 549-2300
QUISON AALIYAH ASH
Counselor
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 573-8702
DANIELLE RAINES
Peer Specialist
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 858-0857
PAUL NGUYEN
Counselor
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 328-5696
MADELINE R ELLEDGE
Counselor
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 323-6336
LUAM GHEBREBRHAN GHEBREHIWET
Social Worker
100 23RD AVE S
SEATTLE, WA 98144
King County (206) 328-5696

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 Kenrodric Grissom's NPI number?

The NPI number for Kenrodric Grissom is 1457088106. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Kenrodric Grissom located?

Kenrodric Grissom practices at 100 23rd Ave S, Seattle, WA 98144. The listed phone number is (206) 849-0614.

What is Kenrodric Grissom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kenrodric Grissom was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.