Individual provider Active NPI

Claire Ellen Griese, LPC, NCC, BC-TMH

  • Professional Counselor
  • Starkville, MS
National Provider Identifier
1619736477
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3091 Issued in MS
Practice address
100 Starr Ave Ste K
Starkville, MS 39759-4032
Phone
(662) 340-5947
Fax
(662) 200-5960
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3091 MS Primary

Addresses

Primary practice location

100 Starr Ave Ste K
Starkville, MS 39759-4032

Mailing address

5519 Hamilton Ave
Columbus, MS 39705-7515
Phone (703) 595-3308

Other practice location 1

28 Glenwood Dr Ste 1
Columbus, MS 39705-1596
Phone (662) 340-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20240326001739 MS Practitioner - Mental Health Counselor 8022455062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starkville Wellness GroupGroup PAC ID 3072982545, 8 clinicians

Practice addresses (Care Compare)

100 Starr Ave
Suite K
Starkville, MS 39759-4032
Phone (662) 340-5947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3091MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Wellness Group CurrentSince Mar 20, 2024 Accepting new patients

Locations

28 Glenwood Dr
Ste 1
Columbus, MS 39705
Phone (601) 941-7754

100 Starr Ave
Ste K
Starkville, MS 39759
Phone (662) 340-5947

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619736477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 HAMILTON AVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397057515",
            "telephone_number": "703-595-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARR AVE STE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594032",
            "telephone_number": "662-340-5947",
            "fax_number": "662-200-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Glenwood Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397051596",
            "country_code": "US",
            "telephone_number": "662-340-5947",
            "fax_number": "662-200-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESE",
        "first_name": "CLAIRE",
        "middle_name": "ELLEN",
        "credential": "LPC, NCC, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.