Individual provider Active NPI

Charra Grist

  • Professional Counselor
  • Midland, MI
National Provider Identifier
1740044197
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
111 E Wackerly St Ste a
Midland, MI 48642-7043
Phone
(989) 444-3209
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

111 E Wackerly St Ste a
Midland, MI 48642-7043

Mailing address

111 E Wackerly St Ste a
Midland, MI 48642-7043
Phone (989) 444-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240807000383 MI Practitioner - Mental Health Counselor 2567909625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Counseling and Wellness PLLCGroup PAC ID 1951776715, 5 clinicians

Practice addresses (Care Compare)

201 S University Ave
Suite 105
Mount Pleasant, MI 48858-2527
Phone (989) 444-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Counseling and Wellness PLLC Professional CurrentSince May 17, 2024 Accepting new patients

Locations

111 E Wackerly St
Ste A
Midland, MI 48642
Phone (989) 444-3209

201 S University Ave
Ste 105
Mount Pleasant, MI 48858
Phone (989) 444-3209

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1740044197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WACKERLY ST STE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427043",
            "telephone_number": "989-444-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WACKERLY ST STE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427043",
            "telephone_number": "989-444-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIST",
        "first_name": "CHARRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.