Kayla Grimsley, REGISTERED INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH21839 Issued in FL

Practice address

2331 NE 42ND St
Ocala, FL 34479-8908

Phone

(352) 502-8036

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grimsley'S Grace, LLC

  • Adult Companion
  • Ocala, FL
  • NPI 1275190043
  NPD Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1679019079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NE 42ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344798908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NE 42ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344798908",
            "telephone_number": "352-502-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Clark St",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657378",
            "country_code": "US",
            "telephone_number": "407-359-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "KAYLA",
        "credential": "REGISTERED INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21839",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica C. Griffin, CNM
• Reginald Lane Griffin, M.D.
• Jordan Griffis
• Patricia Anne Griffith
• Taneika Grimes
• Grimsley'S Grace, LLC
• Danielle Zoey Grinberg, PA-C
• Julie Ann Grindol, PHARMD
• Natalie Gringorten, M.D.
• Justs Grinvalds, APRN

• Mental Health Counselor in Ocala, FL
• Providers in Ocala, 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 Jul 7, 2022; 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.