Maurice Grant

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1311 Shenandoah Dr
Ardmore, OK 73401-1203

Phone

(580) 222-6416

NPI assigned

Jun 5, 2012

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Our House Mhsa Inc

  • Mental Health Counselor
  • Lawton, OK
  • NPI 1790144160
  NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1477814556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SHENANDOAH DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011203",
            "telephone_number": "580-222-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 SHENANDOAH DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011203",
            "telephone_number": "580-222-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MAURICE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Gourley, D.PH.
• Mackenzie Graham
• Jaree Michelle Grant, MSW
• Jordyn Alexis Grant, CRNA
• Lee Michael Grant, D.C.
• Ron L Graves, D.D.S.
• Kimberly Gray
• Rian Gray
• Great Plains Anesthesia, PLLC
• Winter Green

• Mental Health Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.