NPIMap

Individual provider Active NPI

Kara Malissa Grimes, B.A.

  • Counselor
  • Fresno, CA
National Provider Identifier
1417501628
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4291 N Millbrook Ave
Fresno, CA 93726-3438
Phone
(559) 224-7967
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4291 N Millbrook Ave
Fresno, CA 93726-3438

Mailing address

7120 N Marks Ave
Fresno, CA 93711-0268

Other practice location 1

10120 Lanes Bridge Dr
Madera, CA 93636-8890
Phone (559) 431-5532 ext. 55943

Other practice location 2

718 E Minarets Ave
Fresno, CA 93720-3010
Phone (559) 447-1114 ext. 55944

Other practice location 3

7120 N Marks Ave
Fresno, CA 93711-0268
Phone (559) 439-5437

Other practice location 4

1027 N Van Ness Ave
Fresno, CA 93728-3429
Phone (559) 268-7613 ext. 55926

Other practice location 5

775 E Spruce Ave
Fresno, CA 93720-3016
Phone (559) 431-5073 ext. 55943

Other practice location 6

1415 W Barstow Ave
Fresno, CA 93711-3018
Phone (559) 438-9344 ext. 55943

Other practice location 7

1853 E Niles Ave
Fresno, CA 93720-2342
Phone (559) 325-3892 ext. 55932

Other practice location 8

1942 E Niles Ave
Fresno, CA 93720-2344
Phone (559) 323-4957 ext. 55932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgrimes@promeabehavioral.org

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
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health PastSince Jul 28, 2019 Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Genesis Family Center PastSince Jul 28, 2019 Accepting new patients
Promesa Behavioral Health Past Accepting new patients

Organizations & group practices 9

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1417501628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263438",
            "telephone_number": "559-224-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 Lanes Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368890",
            "country_code": "US",
            "telephone_number": "559-431-5532 x55943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203010",
            "country_code": "US",
            "telephone_number": "559-447-1114 x55944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7120 N Marks Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110268",
            "country_code": "US",
            "telephone_number": "559-439-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283429",
            "country_code": "US",
            "telephone_number": "559-268-7613 x55926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 E Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203016",
            "country_code": "US",
            "telephone_number": "559-431-5073 x55943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113018",
            "country_code": "US",
            "telephone_number": "559-438-9344 x55943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1853 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202342",
            "country_code": "US",
            "telephone_number": "559-325-3892 x55932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202344",
            "country_code": "US",
            "telephone_number": "559-323-4957 x55932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KARA",
        "middle_name": "MALISSA",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgrimes@promeabehavioral.org",
            "affiliation": "N",
            "address_1": "7120 N Marks Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937110268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.