Active NPI
Ashley Grimes, LLPC
- Professional Counselor
- Detroit, MI
National Provider Identifier
1124584073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017128
- Practice address
- 19750 Burt Rd
Detroit, MI 48219-2078 - Phone
- (313) 977-9550
- Fax
- (313) 255-3465
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 6401017128 | MI | Primary |
Addresses
Primary practice location
19750 Burt Rd
Detroit, MI 48219-2078
Mailing address
14361 Faust Ave
Detroit, MI 48223-3543
Phone (313) 587-0097
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 |
|---|---|---|---|
| 6401017128 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1124584073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14361 FAUST AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482233543",
"telephone_number": "313-587-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19750 BURT RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482192078",
"telephone_number": "313-977-9550",
"fax_number": "313-255-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "ASHLEY",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.