Nicole Michelle Grizzle, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

375 E Horsetooth Rd BLDG 2101
Fort Collins, CO 80525-3196

Phone

(970) 484-1735

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in CO

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment Care Compare group NPD
• Light of the Rockies Christian Counseling Center

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1174748008
  NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1477165058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 W 23RD STREET DR",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343847",
            "telephone_number": "970-313-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 2101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253196",
            "telephone_number": "970-484-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Griffith, RN
• Megan Grim, INTERN.
• Mariah L Grinde
• Michelle Lynne Grippo, MPT
• Jason Patrick Grissom, MPT
• Groene Chiropractic PC
• Megan Groeneveld
• John W. Grogan Jr., PHD
• Rachel Ann Grohs, LPC, MA, NCC
• Grosse Pointe Spine DME

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.