Grace Shade, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.1901560 Issued in OH

Practice address

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695

Phone

(419) 408-5533

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presence of Mind CounselingGroup PAC ID 4688116288, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Presence of Mind Counseling

  • Mental Health Counselor
  • Bowling Green, OH
  • NPI 1174253108
  Medicare reassignment Care Compare group NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Viaquest Psychiatric & Behavioral Solutions LLC

  • Case Manager/Care Coordinator
  • Dublin, OH
  • NPI 1386155711
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1407369978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695",
            "telephone_number": "419-408-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695",
            "telephone_number": "419-408-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9033 Dold Dr",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458401671",
            "country_code": "US",
            "telephone_number": "419-890-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADE",
        "first_name": "GRACE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1700642",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1901560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Ann Seibert, LMT
• Daniele Seifert
• Shawn Serrato, LMT
• Alka Seth, M.D.
• Kathryn Shackleton
• Robyn Shannak
• Robyn Marie Hightower Sharninghouse, OTR/L
• Amanda Jo Sharp, LICDC, LPC
• Diana Sharp, LPN
• Courtney Sheridan, LPN

• Counselor in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.