Richard Barnwell Grimball Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9005 Issued in SC

Practice address

1101 Camp Rd
Charleston, SC 29412-8832

Phone

(843) 819-1051

NPI assigned

Jun 19, 2024

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

State licenses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1396589917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 35TH AVE",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512009",
            "telephone_number": "843-725-8557",
            "fax_number": "843-725-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAMP RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128832",
            "telephone_number": "843-819-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMBALL",
        "first_name": "RICHARD",
        "middle_name": "BARNWELL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith McLain Griffin, PA
• Sandra Fried Griffin, FNP
• Allison Griffith
• Jenifer J Griffith, CRNA
• Juliana Grim
• Allie Grimes, MD
• Hannah Elizabeth Grimes, OD
• Jeffery Robert Grimes
• Hope Gable Grimmett, RN
• Jake T Griner

• Mental Health Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.