JP Grace, MED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3258-125 Issued in WI

Practice address

2095 Winnebago St
Suite a
Madison, WI 53704-5316

Phone

(608) 578-0005

Fax

(608) 498-4588

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528274628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 WINNEBAGO ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045316",
            "telephone_number": "608-578-0005",
            "fax_number": "608-498-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 WINNEBAGO ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045316",
            "telephone_number": "608-578-0005",
            "fax_number": "608-498-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JP",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3258-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40947200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROF COUNSELOR",
            "identifier": "3258-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Grabon
• Aleen Grabow, M.D.
• Patrick James Grabowski, PT, OCS, CSCS
• Grace Assisted Living Homes LLC
• Christie Grace, MS
• Gracefusion Homecare LLC
• Gracious Angelic Care LLC
• Bridget Kari Gracner, OTR
• Norah A Grady-Letendre, NP
• Margo Christina Grady, MS, CGC

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.