Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316589559 Individual Practitioner Female Practitioner

Nicole Laray Grochow

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Nicole Grochow is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 720 14TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 14th Ave

Longview, WA 98632

Telephone 3604230203
Fax 3605770187
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
107 Specialists

Practicing in Longview, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61011099

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Rachael Rogan

Counselor

NPI 1013890532

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 07, 2021

Registered at 720 14TH AVE, LONGVIEW, WA 98632 (Tel: 3604230203)

📍
Updated Business Mailing Address September 07, 2021

Registered at PO BOX 1847, LONGVIEW, WA 98632 (Tel: 3604230203)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Peer Specialist (License #CG61011099 in WA)

👤
Provider Name / Credentials Updated May 21, 2021

Recorded as NICOLE GROCHOW

NPI Profile Active October 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2019

Registered at 1338 COMMERCE AVE STE F, LONGVIEW, WA 986323743 (Tel: 3604421773)

📍
Updated Business Mailing Address October 09, 2019

Registered at 1338 COMMERCE AVE, LONGVIEW, WA 986323732

👤
Provider Name / Credentials Updated October 09, 2019

Recorded as NICOLE WILHOIT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316589559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2019
Last Update: September 07, 2021
Sole Proprietor: No

Mailing Address

Po Box 1847

Longview, WA 98632

Phone: 3604230203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.