Grant Lesley Anderson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

98002878A Issued in IN

Practice address

5110 Commerce Square Dr Ste F
Indianapolis, IN 46237-9244

Phone

(317) 540-3314

NPI assigned

Aug 19, 2019

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Safe Hope Therapy LLC

  • Community/Behavioral Health Agency
  • Carmel, IN
  • NPI 1285595215
  Authorized official Same address or phone
• Crosswinds Inc

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1497170427
  NPD
• Young Clinical Services

  • Professional Counselor
  • Fortville, IN
  • NPI 1497437974
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1508413287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 COMMERCE SQUARE DR STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379244",
            "telephone_number": "877-594-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 COMMERCE SQUARE DR STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379244",
            "telephone_number": "317-540-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Illinois Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041208",
            "country_code": "US",
            "telephone_number": "260-702-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 S Maple St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fortville",
            "state": "IN",
            "postal_code": "460401681",
            "country_code": "US",
            "telephone_number": "317-360-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GRANT",
        "middle_name": "LESLEY",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202961",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "98002878A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anderson, CP
• Erika Anderson, CCC-SLP
• Evan Anderson, MD
• Eve Anderson, PHARMD
• Grace Anderson
• Hannah Jeanne Anderson, AGNP-C
• India Savage Anderson, MSW, LCSW
• James Anderson III
• Jamie Anderson
• Janine Anderson, DPT

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.