Organization Active NPI

Grilliot Counseling Services, LLC

  • Counselor
  • Englewood, OH
National Provider Identifier
1417415985
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GRILLIOT COUNSELING SERVICES, LLC
Practice address
310 Union Blvd
Englewood, OH 45322-2115
Phone
(937) 540-1871
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Elisabeth Grilliot
Title
Owner
Phone
(937) 540-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

310 Union Blvd
Englewood, OH 45322-2115

Mailing address

309 Shady Tree CT
Englewood, OH 45315-9652

Other identifiers 1

IdentifierTypeStateIssuer
0221476MedicaidOH

National Provider Directory

National Provider Directory

Locations

310 Union Blvd
Englewood, OH 45322
Phone (937) 242-7040

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1417415985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SHADY TREE CT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 UNION BLVD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222115",
            "telephone_number": "937-540-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRILLIOT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "GRILLIOT",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-540-0871"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.