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Kenrodric Grissom
NPI 1457088106 · Counselor · Seattle, WA
Kenrodric Grissom is a Counselor provider in Seattle, WA (NPI 1457088106).
Provider details
- NPI number
- 1457088106
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 23rd Ave S
Seattle, WA 98144-2302
Phone: (206) 849-0614
Street-level locationGet directions
Mailing address
12725 33rd Ave Ne Apt B501
Seattle, WA 98125-8908
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Frequently asked questions
- What is Kenrodric Grissom's NPI number?
- Kenrodric Grissom's National Provider Identifier (NPI) is 1457088106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenrodric Grissom's specialty?
- Kenrodric Grissom is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kenrodric Grissom located?
- Kenrodric Grissom's practice location on file with NPPES is 100 23rd Ave S, Seattle, WA 98144-2302.
- What is Kenrodric Grissom's phone number?
- The practice phone number listed in the NPPES registry for Kenrodric Grissom is (206) 849-0614.
- Is Kenrodric Grissom's NPI active?
- Yes — Kenrodric Grissom's NPI (1457088106) is active in the NPPES registry as of the last update on 2022-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.