Active NPI
Angela Lynn Grass, MS
- Mental Health Counselor
- Farmington, MO
National Provider Identifier
1699780171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1085 Maple St
Farmington, MO 63640-1955 - Phone
- (573) 756-5353
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1085 Maple St
Farmington, MO 63640-1955
Mailing address
1430 Olive St
Suite 400
Saint Louis, MO 63103-2303
Phone (573) 747-2465
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699780171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "SUITE 400",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "573-747-2465",
"fax_number": "573-756-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 MAPLE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401955",
"telephone_number": "573-756-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASS",
"first_name": "ANGELA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
- Emily Ann Goodson
- Melissa A Goodson, AGACNP-BC, RN, MSN
- Charles Goshen, CRNA
- Robert L Gould Jr., LPC
- Amy Graham, MSN, PMHNP-BC
- Haley M Graven, DPT
- Blaice Elizabeth Gray, BACHELOR'S SCIENCE
- Great Mines Health Center (Farmington R-VII - Roosevelt Elementary)
- Great Mines Health Center (Farmington R-VII - Dayse Baker Learning Center)
- Great Mines Health Center (Farmington R-VII - Washington-Franklin Elementary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.