Active NPI
Katelyn Kristine Grim, LPCC-S
- Professional Counselor
- Whitehall, OH
National Provider Identifier
1235625112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2303824
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (614) 875-2371
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.161892 | OH | |
| Professional Counselor | 101YP2500X | E.2303824 | OH | Primary |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
4653 E Main St
Whitehall, OH 43213-3298
Phone (614) 875-2371
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 |
|---|---|---|---|
| LICDC.161892 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2303824 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1235625112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "614-875-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "614-875-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIM",
"first_name": "KATELYN",
"middle_name": "KRISTINE",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.161892",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2303824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.