Individual provider Active NPI

Deanna R. Grim, LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1356466643
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC615 Issued in GA
Practice address
320 Maxwell Rd
Suite 600 C
Alpharetta, GA 30009-2070
Phone
(678) 300-4746
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC615 GA Primary

Addresses

Primary practice location

320 Maxwell Rd
Suite 600 C
Alpharetta, GA 30009-2070

Mailing address

320 Maxwell Rd
Suite 600 C
Alpharetta, GA 30009-2070
Phone (678) 300-4746

Other identifiers 1

IdentifierTypeStateIssuer
099972183AMedicaidGA

Other names 1

  • Dr. Deanna R. Grim Professional name

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
LPC615GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deanna R. Grim, Ed.D., Inc. Professional 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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1356466643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAXWELL RD",
            "address_2": "SUITE 600 C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092070",
            "telephone_number": "678-300-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAXWELL RD",
            "address_2": "SUITE 600 C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092070",
            "telephone_number": "678-300-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "DEANNA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099972183A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "GRIM",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.