Individual provider Active NPI

Michelle Alexandria Grigsby, MA, CPRP, LCPC

  • Mental Health Counselor
  • Laurel, MD
National Provider Identifier
1720536741
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC8963 Issued in MD
Practice address
9030 Stebbing Way
Apt L
Laurel, MD 20723-5946
Phone
(240) 294-3586
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 LC8963 MD Primary

Addresses

Primary practice location

9030 Stebbing Way
Apt L
Laurel, MD 20723-5946

Mailing address

10253 Patuxent Valley LN
Ellicott City, MD 21042-2488
Phone (240) 515-5285

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 Arts

State licenses

LicenseStateTypeSpecialty
LC8963MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1720536741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10253 PATUXENT VALLEY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422488",
            "telephone_number": "240-515-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 STEBBING WAY",
            "address_2": "APT L",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235946",
            "telephone_number": "240-294-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "MICHELLE",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "credential": "MA, CPRP, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.