Tijuan Grimes, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12537 Issued in FL

Practice address

3180 Enterprise Rd E
Safety Harbor, FL 34695-5205

Phone

(727) 725-4761

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R.E.S.E.T. Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tampa, FL
  • NPI 1699388744
  NPD Authorized official
• Flordia Sheriffs Youth Ranchs Inc.

  • Psychiatric Residential Treatment Facility
  • Safety Harbor, FL
  • NPI 1255385191
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1003229428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ENTERPRISE RD E",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955205",
            "telephone_number": "727-725-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ENTERPRISE RD E",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955205",
            "telephone_number": "727-725-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "TIJUAN",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Florida Anesthesiologists, LLC
• Amanda Green, RN
• Tiffany H Green, M.D.
• Tracy Greene, NP-C
• Nicole I Gregory, CNM, APRN
• Walter Matthew Groteke
• Marina Morkos Gubran, MD
• Pamela Guida
• George Guirguis, DO
• Mary M Guirguis, PHARM.D.

• Mental Health Counselor in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.