Active NPI
Grace L. Grant
- Professional Counselor
- Island Falls, ME
National Provider Identifier
1083040703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL4025
- Practice address
- 66 Sherman St
Island Falls, ME 04747-4415 - Phone
- (207) 463-2034
- NPI assigned
- Sep 26, 2013
- 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 | XL4025 | ME | |
| Professional Counselor | 101YP2500X | XL4025 | ME | Primary |
Addresses
Primary practice location
66 Sherman St
Island Falls, ME 04747-4415
Mailing address
PO Box 42
Island Falls, ME 04747-0042
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
| License | State | Type | Specialty |
|---|---|---|---|
| XL4025 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1083040703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "ISLAND FALLS",
"state": "ME",
"postal_code": "047470042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 SHERMAN ST",
"city": "ISLAND FALLS",
"state": "ME",
"postal_code": "047474415",
"telephone_number": "207-463-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "GRACE",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4025",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Island Falls, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.