Jill H Griggs, MA, LPCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CCMH0158231 Issued in NM

Practice address

750 Broadmoor Blvd NE Ste E
Rio Rancho, NM 87124-3442

Phone

(505) 655-7949

Fax

(877) 440-8944

NPI assigned

Jul 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 24, 2024 through Jul 24, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Athena Counseling, LLC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1730554304
  NPD Authorized official

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1144459603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO DR SE # 432",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "505-565-7949",
            "fax_number": "877-440-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADMOOR BLVD NE STE E",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243442",
            "telephone_number": "505-655-7949",
            "fax_number": "877-440-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "JILL",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0158231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97739260",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa N. Greene, BSW
• Greg Jorgensen, DMD, Ms PC
• Michelle Richins Grega, RDH
• Shannon Nicole Gregg, RD, LD
• Carol Susan Griffith I, P.T.A.
• Ruth Grodinsky, LMSW
• Daniel Michael Grossman
• Guadalupe Psychiatric and Mental Health Services
• Guardian Angel Home Care Group LLC
• Julie Guevara

• Professional Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.

Verify at the official NPI Registry.