Active NPI
Debra T Grant, LPC MHSP
- Mental Health Counselor
- Athens, TN
National Provider Identifier
1528092376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC1851
- Practice address
- 506 Maple St
Athens, TN 37303-2938 - Phone
- (423) 746-2441
- Fax
- (423) 746-2442
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC1851 | TN | Primary |
Addresses
Primary practice location
506 Maple St
Athens, TN 37303-2938
Mailing address
PO Box 564
Athens, TN 37371-0564
Phone (423) 746-2441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506418 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1851 | TN | MD | Mental Health Counselor |
| 1851 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1528092376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "ATHENS",
"state": "TN",
"postal_code": "373710564",
"telephone_number": "423-746-2441",
"fax_number": "423-746-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MAPLE ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373032938",
"telephone_number": "423-746-2441",
"fax_number": "423-746-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DEBRA",
"middle_name": "T",
"credential": "LPC MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC1851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506418",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.