Danielle Christina Grimm, LPC
Individual provider Active NPI Professional Counselor · Rayville, MO
NPI 1285370221 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1285370221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2016040388 (MO)
- Practice address
- 202 S Highway C
Rayville, MO 64084-8295 - Phone
- (816) 510-8256
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
4625 Lindell Blvd
Suite 200And300
Saint Louis, MO 63108-3725
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231226000807 | MO | Practitioner - Mental Health Counselor | 7618327115 | Reassigns benefits to 3 organizations |
| I20250711002542 | AZ | Practitioner - Mental Health Counselor | 7618327115 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current |
Accepting new patients |
| Talkspace Provider Network PA | Current |
Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776
4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900
4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765
2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-22748 | AZ | |
| Professional Counselor | 101YP2500X | 2016040388 | MO | Yes |
Addresses
Primary practice location
202 S Highway C
Rayville, MO 64084-8295
Mailing address
202 S Highway C
Rayville, MO 64084-8295
Phone (816) 510-8256
Other names
- Danielle Christina Williams
Other providers in Rayville, MO
All providers in Rayville, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.