Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edi Lane Griggs Halstead

Individual provider Mental Health Counselor · NPI 1346909546

Edi Lane Griggs Halstead is a Mental Health Counselor in Palmer, Alaska. Qualified in 2016, 10 years ago. Practices with The Mental Health Co-Op LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
10
Licensed in
AK
In the registry since
2021
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Practice location Address checks out

3647 Clark Wolverine Rd
Palmer, AK 99645
Phone: (907) 761-7426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 176780 (AK)

Record details

NPI number1346909546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 14, 2021
Mailing address1950 S Bodenburg Loop, Palmer, AK 99645-7617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Mental Health Co-Op Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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