Kirsten Lee Griggs, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-371 Issued in ID

Practice address

310 N 2ND E Ste 114
Rexburg, ID 83440-1606

Phone

(208) 359-0581

Fax

(208) 359-1125

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 20, 2024 through Nov 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Care Center, Inc

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1568596062
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174634752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "SUGAR CITY",
            "state": "ID",
            "postal_code": "834480420",
            "telephone_number": "208-390-4122",
            "fax_number": "208-359-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 2ND E STE 114",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401606",
            "telephone_number": "208-359-0581",
            "fax_number": "208-359-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "KIRSTEN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010156968",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q7359",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wade Gordon, LCSW
• Kyle Joe Gould
• Janiel J Green, PA-C
• Greenstone Counseling LLC
• Samantha Gregston, LCSW
• Michele Ann Griggs
• Hayley Brooke Grover, FNP-C
• Jeffrey T Grover, CRNA
• Zachary Rex Gundersen, PHARMD
• Layne E Hacking, DMD

• Professional Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.