Active NPI
John Joseph Grimaud, MA LPC LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1356423701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW004212
- Practice address
- 13354 Manchester Rd
Suite 220
Saint Louis, MO 63131-1709 - Phone
- (314) 220-6981
- Fax
- (314) 692-7929
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CS000987 | MO | |
| Clinical Social Worker | 1041C0700X | SW004212 | MO | Primary |
Addresses
Primary practice location
13354 Manchester Rd
Suite 220
Saint Louis, MO 63131-1709
Mailing address
13354 Manchester Rd
Suite 220
Saint Louis, MO 63131-1709
Phone (314) 220-6981
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170538 | Other | VALUEOPTIONS | |
| 18794 | Other | BLUE CROSS BLUE SHIELD | |
| 6214089 | Other | UNITED HEALTHCARE UNITED | |
| 143303 | Other | CMR | |
| 38295 | Other | HEALTHLINK NON PAR | |
| 015264 | Other | EXCLUSIVE CHOICE FMH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS000987 | MO | MD | Professional Counselor |
| SW004212 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1356423701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13354 MANCHESTER RD",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311709",
"telephone_number": "314-220-6981",
"fax_number": "314-692-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13354 MANCHESTER RD",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311709",
"telephone_number": "314-220-6981",
"fax_number": "314-692-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMAUD",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MA LPC LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "CS000987",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "SW004212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "170538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18794",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE UNITED",
"identifier": "6214089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "143303",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK NON PAR",
"identifier": "38295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCLUSIVE CHOICE FMH",
"identifier": "015264",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.