Mary Lisa Grimmer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11345 Issued in FL

Practice address

7235 Maida LN Apt 5C
Fort Myers, FL 33908-4203

Phone

(239) 410-7559

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Coast Counseling LLCGroup PAC ID 6709310733, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Florida Coast Counseling LLC

  • Clinical Social Worker
  • Naples, FL
  • NPI 1457122038
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1629708243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 MAIDA LN APT 5C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084203",
            "telephone_number": "239-410-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 MAIDA LN APT 5C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084203",
            "telephone_number": "239-410-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMER",
        "first_name": "MARY",
        "middle_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Grillo, DPM
• Gregory James Grimes, DNAP, CRNA, APRN
• Holly Lynn Grimes, APRN
• Lauren Grimes, PHARMD
• Anne Marie Grimmer
• Baylee Fay Grine
• Simon Grinshteyn, M.D.
• Glenn Edward Groat, M.D.
• Dina Esther Grodson, APRN
• Robert M. Grohowski, M.D.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.