Growspace MH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GROWSPACE MH

Practice address

10364 1/2 Mitchell Street
West Frankfort, IL 62896

Phone

(618) 218-5852

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Rachel Lynn Taylor, LCSWNPI 1710578737

Title

Ceo Manager

Phone

(618) 218-5852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Taylor, LCSW

  • Clinical Social Worker
  • West Frankfort, IL
  • NPI 1710578737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1578367975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10364 1/2 MITCHELL STREET",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-218-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10364 1/2 MITCHELL STREET",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-218-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWSPACE MH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO MANAGER",
        "authorized_official_telephone_number": "618-218-5852",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Melissa Grajewski, LCSW
• Donna Greer
• Joyce Ann Griffin, PH.D., LCPC
• Kevin Dale Griggs, PT
• Daniel Ray Grisham
• Nancy M Gulley
• Akiya D Harris
• James Harris
• Paula K Harris, AU.D., CCC-A
• Angela Harrison

• Clinical Social Worker in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.