Active NPI
Nicole Grass, PLPC
- Mental Health Counselor
- Clayton, MO
National Provider Identifier
1730797929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2019037907
- Practice address
- 222 S Meramec Ave Ste 303
Clayton, MO 63105-3514 - Phone
- (314) 690-3118
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2019037907 | MO | Primary |
Addresses
Primary practice location
222 S Meramec Ave Ste 303
Clayton, MO 63105-3514
Mailing address
7303 Summertime Dr
Saint Louis, MO 63129-5740
Phone (314) 690-3118
Other practice location 1
1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265
Phone (314) 690-3118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | nicolegrasscounseling@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019037907 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1730797929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7303 SUMMERTIME DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631295740",
"telephone_number": "314-690-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S MERAMEC AVE STE 303",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053514",
"telephone_number": "314-690-3118"
}
],
"practiceLocations": [
{
"address_1": "1034 S Brentwood Blvd Ste 555",
"address_purpose": "LOCATION",
"city": "Richmond Heights",
"state": "MO",
"postal_code": "631171265",
"country_code": "US",
"telephone_number": "314-690-3118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASS",
"first_name": "NICOLE",
"credential": "PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2019037907",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "nicolegrasscounseling@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "222 S Meramec Ave Ste 303",
"city": "Clayton",
"state": "MO",
"country_code": "US",
"postal_code": "631053514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.