Individual provider Active NPI

Christine Grant, LPCC LSW

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1336369834
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700147 Issued in OH
Practice address
1501 Madison Rd
Cincinnati, OH 45206
Phone
(513) 354-5200
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0700168 OH
Professional Counselor 101YP2500X E.1700147 OH Primary

Addresses

Primary practice location

1501 Madison Rd
Cincinnati, OH 45206

Mailing address

4464 Timber Glenn Dr Apt 6
Batavia, OH 45103-3521
Phone (937) 205-6495

Other practice location 1

6881 Beechmont Ave
Cincinnati, OH 45230-2907
Phone (513) 231-6630

Other practice location 2

551 Cincinnati-Batavia Pike
Cincinnati, OH 45244
Phone (513) 752-1555

Other practice location 3

232 N South St
Lebanon, OH 45069
Phone (937) 414-2016

Other identifiers 1

IdentifierTypeStateIssuer
0255801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240215000448 OH Practitioner - Mental Health Counselor 8022452382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700147OHMDProfessional Counselor
S.0700168OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services CurrentSince Jan 1, 2024 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Jan 1, 2024 Accepting new patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
Beech Acres Parenting Center Past Accepting new patients

Locations

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1336369834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 TIMBER GLENN DR APT 6",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451033521",
            "telephone_number": "937-205-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "513-354-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6881 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452302907",
            "country_code": "US",
            "telephone_number": "513-231-6630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Cincinnati-Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45244",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "fax_number": "513-753-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 N South St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "937-414-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHRISTINE",
        "credential": "LPCC LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0700168",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.