Kyle Grimm, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1515 N 1St St
Indianola, IA 50125-3703

Phone

(515) 306-3423

NPI assigned

Dec 22, 2017

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Life Resources, LLC

  • Adult Mental Health Clinic/Center
  • Indianola, IA
  • NPI 1114681434
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1366958688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253703",
            "telephone_number": "515-306-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "KYLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Noel Goodson, PA
• Tonya Lynn Gordon, LMHC
• Cassidy Rae Graham, PHARMD
• Madison Ann Greazel, DPT
• Tyler Gregory Greiner, PHARMD
• GRX Holdings LLC (Medicap Pharmacy)
• GRX Holdings LLC (Medicap Pharmacy)
• GRX Holdings LLC (Medicap Pharmacy LTC)
• Alexandria Lynn Gudenkauf
• Megan J Gustafson, P.A.

• Mental Health Counselor in Indianola, IA
• Providers in Indianola, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.