Active NPI
Katelyn Mae Grant, MS, LPC, NCC
- Mental Health Counselor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-18282
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-18282 | AZ | MD | Mental Health Counselor |
| 3012-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Marriage and Family Relationship Therapist, LLC | Current | Accepting new patients | |
| Desert View Counseling and Consulting, Inc. | Mental Health | Past | Accepting new patients |
| Affiliated Counseling Center, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1619743754
-
dba Desert View Counseling & Consulting
- Mental Health Counselor
- Peoria, AZ
- NPI 1124173471
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaver Dam, WI
- NPI 1164568879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.