Individual provider Active NPI

Timothy Ronald Grimes

  • Mental Health Counselor
  • Spring Hill, TN
National Provider Identifier
1285818773
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
TN00001960 Issued in TN
Practice address
5311 Main St
Spring Hill, TN 37174-2450
Phone
(615) 483-7007
Fax
(931) 489-0033
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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 TN00001960 TN Primary

Addresses

Primary practice location

5311 Main St
Spring Hill, TN 37174-2450

Mailing address

PO Box 1912
Spring Hill, TN 37174-1912
Phone (615) 483-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260303000262 TN Practitioner - Mental Health Counselor 6002398856 Practice locations: Spring Hill, TN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5326 Main St
Suite B
Spring Hill, TN 37174-2410

5326 Main St
Suite F
Spring Hill, TN 37174-2411
Phone (615) 483-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN00001960TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Counseling Incorporated Past Accepting new patients

Organizations & group practices 1

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1285818773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1912",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371741912",
            "telephone_number": "615-483-7007",
            "fax_number": "931-489-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742450",
            "telephone_number": "615-483-7007",
            "fax_number": "931-489-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "TIMOTHY",
        "middle_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "TN00001960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

Verify at the official NPI Registry.