Active NPI
William G Grall, LPC
- Professional Counselor
- Iuka, MS
National Provider Identifier
1487090031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.007725
- Practice address
- 1213 Maria LN
Iuka, MS 38852-1135 - Phone
- (662) 423-3332
- Fax
- (662) 423-3331
- NPI assigned
- May 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.007725 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 2101 | MS |
Addresses
Primary practice location
1213 Maria LN
Iuka, MS 38852-1135
Mailing address
PO Box 839
Corinth, MS 38835-0839
Phone (662) 423-3332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101 | MS | MD | Mental Health Counselor |
| 178.007725 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G-Team, P.C. | Current | Accepting new patients | |
| All-in Counseling, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Florence, AL
- NPI 1154194231
-
- Counseling Psychologist
- Florence, AL
- NPI 1780197970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1487090031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"city": "CORINTH",
"state": "MS",
"postal_code": "388350839",
"telephone_number": "662-423-3332",
"fax_number": "662-423-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 MARIA LN",
"city": "IUKA",
"state": "MS",
"postal_code": "388521135",
"telephone_number": "662-423-3332",
"fax_number": "662-423-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALL",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.007725",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.