Individual provider Active NPI

Nicole Grass, PLPC

  • Mental Health Counselor
  • Clayton, MO
National Provider Identifier
1730797929
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2019037907 Issued in MO
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

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2019037907MOMDMental 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.

Verify at the official NPI Registry.