Individual provider Active NPI

Katelyn Mae Grant, MS, LPC, NCC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1063869337
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-18282 Issued in AZ
Practice address
18205 N 51St Ave Ste 136
Glendale, AZ 85308-1492
Phone
(480) 640-2998
Fax
(866) 340-1836
NPI assigned
May 17, 2016
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-18282 AZ Primary
Mental Health Counselor 101YM0800X 3012-226 WI

Addresses

Primary practice location

18205 N 51St Ave Ste 136
Glendale, AZ 85308-1492

Mailing address

18205 N 51St Ave Ste 136
Glendale, AZ 85308-1492
Phone (480) 640-2998

Other practice location 1

108 N Lincoln Ave
Beaver Dam, WI 53916-2110
Phone (920) 887-8751

Other practice location 2

19820 N 7th St Ste 140
Phoenix, AZ 85024-1691
Phone (623) 487-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 1, 2025 through Sep 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-18282AZMDMental Health Counselor
3012-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Marriage and Family Relationship Therapist, LLC CurrentSince Dec 3, 2023 Accepting new patients
Desert View Counseling and Consulting, Inc. Mental Health PastSince Oct 1, 2019 Accepting new patients
Affiliated Counseling Center, Inc PastSince Jun 1, 2013 Accepting new patients

Locations

18205 N 51st Ave
Ste 136
Glendale, AZ 85308
Phone (480) 640-2998

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1063869337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "480-640-2998",
            "fax_number": "866-340-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "480-640-2998",
            "fax_number": "866-340-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539162110",
            "country_code": "US",
            "telephone_number": "920-887-8751",
            "fax_number": "920-887-3977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19820 N 7th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850241691",
            "country_code": "US",
            "telephone_number": "623-487-7763",
            "fax_number": "623-486-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KATELYN",
        "middle_name": "MAE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18282",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3012-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.