Individual provider Active NPI

Janeane Marie Grisez, LPCC, LICDC-CS

  • Professional Counselor
  • Mentor, OH
National Provider Identifier
1073873683
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901052 Issued in OH
Practice address
8500 Station St Ste 285
Mentor, OH 44060-4972
Phone
(440) 251-9325
Fax
(440) 549-0935
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC-081246-DU OH
Addiction (Substance Use Disorder) Counselor 101YA0400X GAMB.081246 OH
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X E.1901052 OH Primary

Addresses

Primary practice location

8500 Station St Ste 285
Mentor, OH 44060-4972

Mailing address

8500 Station St Ste 285
Mentor, OH 44060-4972
Phone (440) 251-9325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GAMB.081246OHMDAddiction (Substance Use Disorder) Counselor
ICDC-081246-DUOHMDAddiction (Substance Use Disorder) Counselor
E.1901052OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stellasdream Art Therapy & Counseling Professional Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1073873683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 285",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604972",
            "telephone_number": "440-251-9325",
            "fax_number": "400-549-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 STATION ST STE 285",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604972",
            "telephone_number": "440-251-9325",
            "fax_number": "440-549-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISEZ",
        "first_name": "JANEANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC-081246-DU",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "GAMB.081246",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.