Samantha Tingen Grimes, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

831 Grove Rd Ste C
Midlothian, VA 23114-2666

Phone

(804) 743-0960

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Restorative Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chesterfield, VA
  • NPI 1023745601
  NPD Authorized official
• Chesterfield Family Guidance Center

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1225192909
  NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1558836130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 GROVE RD STE C",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231142666",
            "telephone_number": "804-743-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 GROVE RD STE C",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231142666",
            "telephone_number": "804-743-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SAMANTHA",
        "middle_name": "TINGEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gregory
• Laura Phillips Griesbach, M.S, CCC-SLP
• Georgia Griffin
• Jessica Griffin, PHARMD
• Nicholas Grillo Jr., LCSW
• Katie Grimm, RBT
• Bethany Kate Grocock
• Julie Diana Gronboldt
• Judith Pritikin Grossberg, MD
• Patricia Grosse

• Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.