Janet M Grim Ma LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT485 Issued in FL

Legal business name

JANET M GRIM MA LMFT

Practice address

1726 Kingsley Ave
Suite 3
Orange Park, FL 32073

Phone

(904) 269-7500

Fax

(904) 269-9972

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet McCullough Grim, M.A.NPI 1023090388

Title

President

Phone

(904) 269-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet McCullough Grim, MA LMFT PA

  • Marriage & Family Therapist
  • Orange Park, FL
  • NPI 1023090388
  NPD (past) Authorized official
• Susan M Shepherd, LCSW

  • Clinical Social Worker
  • Orange Park, FL
  • NPI 1154303410
  NPD (past)

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1427353150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 KINGSLEY AVE",
            "address_2": "SUITE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-269-7500",
            "fax_number": "904-269-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 KINGSLEY AVE",
            "address_2": "SUITE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-269-7500",
            "fax_number": "904-269-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET M GRIM MA LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MCCULLOUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-269-7500",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.