Jalieen Lacye Grogan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007964 Issued in VA

Practice address

3003 Hollins Rd NE
Roanoke, VA 24012-7505

Phone

(540) 266-9200

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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.

• Blue Ridge Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roanoke, VA
  • NPI 1437137734
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2026.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1609434661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 MUDLICK RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182042",
            "telephone_number": "540-430-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOLLINS RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127505",
            "telephone_number": "540-266-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "JALIEEN",
        "middle_name": "LACYE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942270699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Griffin, NREMT-B
• Geronetta Griffith, RBT
• Karla Lyn Grimes, PA-C
• Rebekah Grimes, MD
• Hailey Groff, PA-C
• Jacob Christopher Grondin, MD
• Austin Matthew Grooms, PTA
• Crystal Marie Grooms, LPC
• Mason Gross
• Sir Prell Gross, LPC

• All providers in Roanoke, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.