Active NPI
Jason Grindstaff, PHD, LPC-MHSP
- Professional Counselor
- Lebanon, TN
National Provider Identifier
1114190832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 905 Armstrong PL Apt B
Lebanon, TN 37090-4085 - Phone
- (615) 939-1190
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
905 Armstrong PL Apt B
Lebanon, TN 37090-4085
Mailing address
905 Armstrong PL Apt B
Lebanon, TN 37090-4085
Phone (615) 939-1190
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1114190832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 ARMSTRONG PL APT B",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904085",
"telephone_number": "615-939-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 ARMSTRONG PL APT B",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904085",
"telephone_number": "615-939-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINDSTAFF",
"first_name": "JASON",
"credential": "PHD, LPC-MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.