Jennifer Lea Grady, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000002421 Issued in TN

Practice address

204 Rogosin Dr Ste 4
Elizabethton, TN 37643-2965

Phone

(423) 542-9900

Fax

(423) 543-0900

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1063595734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ROGOSIN DR STE 4",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432965",
            "telephone_number": "423-542-9900",
            "fax_number": "423-543-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ROGOSIN DR STE 4",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432965",
            "telephone_number": "423-542-9900",
            "fax_number": "423-543-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517520",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert Roy Gorby Jr., D.C.
• Matthew Gouge, PHARMD
• Sandra Jean Gray, MSW, LCSW
• John David Green, M.D.
• Heather Deanne Greene, FNP
• Jonathan Daniel Greenlee, PTA
• Montgomery A Greer, LPC, MHSP

• Professional Counselor in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.