GRASSROOT PSYCHIATRY AND MENTAL HEALTH CLINIC PLLC
NPI 1801625926
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA
About Grassroot Psychiatry And Mental Health Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRASSROOT PSYCHIATRY AND MENTAL HEALTH CLINIC PLLC (NPI 1801625926) is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Grand Prairie and lists Martina Ezigbo, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
Grassroot Psychiatry And Mental Health Clinic Pllc 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 Grassroot Psychiatry And Mental Health Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grassroot Psychiatry And Mental Health Clinic PLLC's NPI number?
The NPI number for Grassroot Psychiatry And Mental Health Clinic PLLC is 1801625926. It was assigned to this organization in the NPPES registry on July 29, 2024.
Where is Grassroot Psychiatry And Mental Health Clinic PLLC located?
Grassroot Psychiatry And Mental Health Clinic PLLC is located at 101 Elliott Ave W, Suite 500, Seattle, WA 98119. The listed phone number is (682) 453-6176.
What is Grassroot Psychiatry And Mental Health Clinic PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Grassroot Psychiatry And Mental Health Clinic PLLC enrolled in Medicare?
Yes. Grassroot Psychiatry And Mental Health Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grassroot Psychiatry And Mental Health Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grassroot Psychiatry And Mental Health Clinic PLLC. 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.
What insurance does Grassroot Psychiatry And Mental Health Clinic PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Grassroot Psychiatry And Mental Health Clinic 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 Grassroot Psychiatry And Mental Health Clinic PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Grassroot Psychiatry And Mental Health Clinic Pllc · NPI 1801625926
Psychiatric/Mental Health organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1801625926 (Entity type: Organization)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Martina Ezigbo, ADMINISTRATOR
## Practice location
- **Address:** 101 ELLIOTT AVE W, SUITE 500, Seattle, WA 98119-4292
- **Phone:** (682) 453-6176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801625926) · Data from the CMS NPPES public registry.