Individual provider Active NPI

Julie E Griffin, PSY. D., LMHC

  • Mental Health Counselor
  • Sellersburg, IN
National Provider Identifier
1689964769
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002871A Issued in IN
Practice address
4323 Silver Glade TRL
Sellersburg, IN 47172-1785
Phone
(502) 457-3969
Fax
(812) 748-0181
NPI assigned
Apr 11, 2011
Last updated
Feb 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002871A IN Primary

Addresses

Primary practice location

4323 Silver Glade TRL
Sellersburg, IN 47172-1785

Mailing address

4323 Silver Glade TRL
Sellersburg, IN 47172-1785
Phone (502) 457-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241028002018 IN Practitioner - Mental Health Counselor 7719410877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39002871AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Julie Griffin LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

2375 N State Highway 3
North Vernon, IN 47265
Phone (502) 457-3969

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1689964769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 SILVER GLADE TRL",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721785",
            "telephone_number": "502-457-3969",
            "fax_number": "812-748-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 SILVER GLADE TRL",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721785",
            "telephone_number": "502-457-3969",
            "fax_number": "812-748-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JULIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY. D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-02-24",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

Verify at the official NPI Registry.