Individual provider Active NPI

Ashley Lauren Grynkiewicz, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1639519085
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7864 Issued in MD
Practice address
1012 North Point Rd
Baltimore, MD 21224-3338
Phone
(443) 216-4800
NPI assigned
Jun 30, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Point Health Services, Inc. 30 clinicians

Practice addresses (Care Compare)

1012 N Point Rd
Baltimore, MD 21224-3338
Phone (443) 216-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240403000134 MD Practitioner - Mental Health Counselor 3971941444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP6452MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Key Point Health Services, Inc. Current Accepting new patients
Key Point Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Key Point Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

135 N Parke St
Aberdeen, MD 21001
Phone (443) 625-1600

1012 S North Point Rd
Baltimore, MD 21224
Phone (410) 285-2110

500 N Rolling Rd
Catonsville, MD 21228
Phone (410) 788-0300

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP6452 MD
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X LC7864 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1012 North Point Rd
Baltimore, MD 21224-3338

Mailing address

227 Maple Ave
Baltimore, MD 21222-4245
Phone (410) 428-0972

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2017.

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1639519085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAPLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224245",
            "telephone_number": "410-428-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 NORTH POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243338",
            "telephone_number": "443-216-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYNKIEWICZ",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP6452",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.