Active NPI
Philip A. Grimes, MA
- Professional Counselor
- Lansdale, PA
National Provider Identifier
1619056470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007181
- Practice address
- 1107 E Main St
Lansdale, PA 19446-3143 - Phone
- (610) 644-6464
- Fax
- (610) 981-6078
- NPI assigned
- Nov 3, 2006
- Last updated
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007181 | PA | Primary |
Addresses
Primary practice location
1107 E Main St
Lansdale, PA 19446-3143
Mailing address
1440 Russell Rd
Paoli, PA 19301-1236
Phone (610) 644-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1015 Chestnut St
Suite 403
Philadelphia, PA 19107-4304
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Life Management Inc | Past | Accepting new patients |
Locations
1015 Chestnut St
Ste 403
Philadelphia, PA 19107
Phone (215) 625-9770
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1619056470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 RUSSELL RD",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011236",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E MAIN ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194463143",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "PHILIP",
"middle_name": "A.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.