Individual provider Active NPI

Brian Grimsley, NHA, MSW

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1174906051
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NH5665 Issued in FL
Practice address
1725 Grande Pointe Blvd Apt 23109
Orlando, FL 32839-5482
Phone
(407) 731-6246
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NH5665 FL Primary

Addresses

Primary practice location

1725 Grande Pointe Blvd Apt 23109
Orlando, FL 32839-5482

Mailing address

1725 Grande Pointe Blvd Apt 23109
Orlando, FL 32839-5482
Phone (407) 731-6246

Other names 1

  • Mr. Brian Grimsley Professional name

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

LicenseStateTypeSpecialty
NH5665FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1174906051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 GRANDE POINTE BLVD APT 23109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328395482",
            "telephone_number": "407-731-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 GRANDE POINTE BLVD APT 23109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328395482",
            "telephone_number": "407-731-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "NHA, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "NH5665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "GRIMSLEY",
            "prefix": "MR.",
            "credential": "NHA, MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.