Individual provider Active NPI

Janice R. Grentz, LPCC, NCC, CSAT

  • Professional Counselor
  • London, KY
National Provider Identifier
1194095323
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0868 Issued in KY
Practice address
2197 Pine Hill Brock Rd
London, KY 40741-8502
Phone
(606) 877-1840
Fax
(606) 877-1840
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0868 KY Primary

Addresses

Primary practice location

2197 Pine Hill Brock Rd
London, KY 40741-8502

Mailing address

2197 Pine Hill Brock Rd
London, KY 40741-8502
Phone (606) 877-1840

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003735 KY Practitioner - Mental Health Counselor 3375995863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0868KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

602 Knox St
Barbourville, KY 40906
Phone (606) 546-6027

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 253-4900

789 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 544-8171

Interoperability endpoints

  • Direct secure messaging: jgrentz95672@bhkydirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1194095323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 PINE HILL BROCK RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418502",
            "telephone_number": "606-877-1840",
            "fax_number": "606-877-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 PINE HILL BROCK RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418502",
            "telephone_number": "606-877-1840",
            "fax_number": "606-877-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENTZ",
        "first_name": "JANICE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LPCC, NCC, CSAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.