Katherine Gross, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7211 Issued in SC

Practice address

1495 Remount Rd Ste 3a
North Charleston, SC 29406-3320

Phone

(843) 882-6880

Fax

(843) 892-0394

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Breathe Life CounselingGroup PAC ID 2365881869, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Breathe Life Counseling

  • Mental Health Counselor
  • North Charleston, SC
  • NPI 1649927492
  Medicare reassignment Care Compare group NPD
• Breathe Life Counseling

  • Mental Health Counselor
  • North Charleston, SC
  • NPI 1144109190
  NPD Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1578032843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 TOUHEY BLVD UNIT B",
            "city": "CHARLESTON AFB",
            "state": "SC",
            "postal_code": "294042157",
            "telephone_number": "330-807-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 REMOUNT RD STE 3A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063320",
            "telephone_number": "843-882-6880",
            "fax_number": "843-892-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6644",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2113",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Grimes
• Jennifer Grimm, MD
• Julia Grimm, LISW-CP
• Hannah Denise Grindstaff, LMBT
• David Laurence Gross, PA
• William Hunter Gross
• Shasta Grotewiel, PHARM.D.
• Adena M. Kelly Grove, PTA
• Elizabeth Ashley Grzybowicz, DNP
• Guardian Allies Collective LLC

• Mental Health Counselor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.