Kendra Grimm, MA, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012014467 Issued in MO

Practice address

205 N 5TH St Ste 302
Saint Charles, MO 63301-1877

Phone

(314) 681-8146

Fax

(636) 724-1226

NPI assigned

Jun 2, 2012

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

Credentials

Master of Arts

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.

• KLG Counseling, Inc.

  • Professional Counselor
  • Saint Charles, MO
  • NPI 1174990881
  NPD Authorized official

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1588925960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HICKORYSHADE CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763846",
            "telephone_number": "314-681-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 5TH ST STE 302",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011877",
            "telephone_number": "314-681-8146",
            "fax_number": "636-724-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "KENDRA",
        "credential": "MA, LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-02",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012014467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Grider, PTA
• Carolyn Griffin, D.C.
• Catherine Griffin, NP
• Tequila M Griffin
• Lydia Kate Griffith
• Stacie L Grojean, LPC
• Jason L Grosch, DDS
• Grounded Life Therapy Solutions
• Nicholas Grove, DPT
• Emily Renee Grozdanic, ATC

• Professional Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.