Chelsea Louise Grissom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

861 SW Madison Ave
Corvallis, OR 97333-4512

Phone

(541) 974-8873

NPI assigned

Aug 13, 2025

Sex

Female

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

Practice roles

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.

• Authentic Hope: Center for Peace and Empowerment

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1891412870
  NPD

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1457237653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 CORVALLIS RD",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519788",
            "telephone_number": "530-966-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 SW MADISON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334512",
            "telephone_number": "541-974-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "CHELSEA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greyslak Dental LLC
• Jonathan Griffes
• Austin Audley Allen Griffin
• Danni Griffith
• Jayce Henry Grimes
• Hailey Nicole Groh, BS
• Peter Grohs, ATC/R
• Jared Dale Grose, MD
• Jonathan Michael Gross, M.D.
• Kent Gross

• Mental Health Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.