Kathryn Grimes

Primary specialty

CounselorTaxonomy code 101Y00000X

License

150104071 Issued in IL

Practice address

1711 S Neil St Ste 2
Champaign, IL 61820-7262

Phone

(872) 256-8818

NPI assigned

Nov 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Becoming Wellness. PLLC

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1326834946
  NPD Authorized official
• Two Roads Wellness Clinic, LLC

  • Primary Care Nurse Practitioner
  • Danville, IL
  • NPI 1417329426

  Counselor

  NPD

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1760028880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 N 1100 EAST RD",
            "city": "MANSFIELD",
            "state": "IL",
            "postal_code": "618546857",
            "telephone_number": "815-383-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S NEIL ST STE 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207262",
            "telephone_number": "872-256-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "150104071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kethryn@tworoadswellnessclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1101 E Winter Ave",
            "city": "Danville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618322295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chase Griffin, LCSW
• Joann Kathryn Griffin, BSN
• Sharon Griffin, PH.D.
• Lynn E Griffith, LCSW
• Adam Griffy
• Brooke Groff
• Heath A Grote, D.M.D.
• Tracy L Grotrian, D.O.
• Grounded Life Counseling, PLLC
• Thomas Wesley Grove

• Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.