Grace Providers LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACE PROVIDERS LLC

Practice address

735 Shelby St Unit 206
Indianapolis, IN 46203-1167

Phone

(317) 413-6028

Fax

(317) 245-2550

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Hewitt Graeser, LMHCNPI 1932472149

Title

President

Phone

(317) 413-6028

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Hewitt Graeser, D. MIN.

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1932472149
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1649862707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST UNIT 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-413-6028",
            "fax_number": "317-254-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST UNIT 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-413-6028",
            "fax_number": "317-245-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E 54th St Ste 152",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462203582",
            "country_code": "US",
            "telephone_number": "317-413-6028",
            "fax_number": "317-245-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "GRAESER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HEWITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-413-6028",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Graceful Home Care LLC

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.