Active NPI
Brandi Whitley
- Counselor
- Coal Grove, OH
National Provider Identifier
1679107270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 103 Carrico Dr
Coal Grove, OH 45638-3006 - Phone
- (740) 307-0369
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
103 Carrico Dr
Coal Grove, OH 45638-3006
Mailing address
615 Depot SQ
Ironton, OH 45638-1856
Phone (740) 550-1246
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gbgcounselingservices@gmail.com | Direct | Growing By Grace Counseling Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing by Grace Counseling Services LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ironton, OH
- NPI 1851956544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1679107270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DEPOT SQ",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381856",
"telephone_number": "740-550-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CARRICO DR",
"city": "COAL GROVE",
"state": "OH",
"postal_code": "456383006",
"telephone_number": "740-307-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2023-11-27",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gbgcounselingservices@gmail.com",
"affiliation": "Y",
"affiliationName": "Growing By Grace Counseling Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "103 Carrico Dr",
"city": "Coal Grove",
"state": "OH",
"country_code": "US",
"postal_code": "456383006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coal Grove, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.