JEANETTE GRANSTROM AA, BA, MACP
NPI 1891151361
Counselor - Mental Health in Fife, WA

Active since January 13, 2016
4047 HERITAGE AVE E, FIFE, WA 98424(253) 259-8645 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeanette Granstrom Aa, Ba, Macp NPPES

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

JEANETTE GRANSTROM AA, BA, MACP (NPI 1891151361) is an individual mental health provider in Fife, Washington, licensed in Washington (CG 60151269) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1891151361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANETTE GRANSTROMCredential: AA, BA, MACP
Location Address4047 HERITAGE AVE EFife, WA 98424-3798
Mailing Address4047 Heritage Ave EFife, WA 98424-3798 · (253) 259-8645
Sole ProprietorYes
Enumeration DateJanuary 13, 2016
NPI 1891151361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · CG 60151269
4047 HERITAGE AVE E, Fife, WA 98424

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 Jeanette Granstrom's NPI number?

The NPI number for Jeanette Granstrom is 1891151361. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Jeanette Granstrom located?

Jeanette Granstrom practices at 4047 Heritage Ave E, Fife, WA 98424. The listed phone number is (253) 259-8645.

What is Jeanette Granstrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeanette Granstrom was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.