Individual provider Active NPI

Lauren Grimm

  • School Psychologist
  • Lewis Center, OH
National Provider Identifier
1245117761
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
03107 Issued in OH
Practice address
2680 E Orange Rd
Lewis Center, OH 43035-9300
Phone
(740) 657-5309
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 03107 OH Primary

Addresses

Primary practice location

2680 E Orange Rd
Lewis Center, OH 43035-9300

Mailing address

2680 E Orange Rd
Lewis Center, OH 43035-9300
Phone (740) 657-5309

Other practice location 1

2500 Piatt Rd
Delaware, OH 43015-7763
Phone (740) 657-5309 ext. 5309

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
03107OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1245117761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E ORANGE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359300",
            "telephone_number": "740-657-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E ORANGE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359300",
            "telephone_number": "740-657-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Piatt Rd",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157763",
            "country_code": "US",
            "telephone_number": "740-657-5309 x5309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "03107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.