Individual provider Active NPI

Aurilia Gray-Grimes, LMHC

  • Mental Health Counselor
  • Sunrise, FL
National Provider Identifier
1770047797
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18368 Issued in FL
Practice address
2551 NW 103Rd Ave Apt 109
Sunrise, FL 33322-6805
Phone
(754) 249-6359
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH17344 FL
Mental Health Counselor 101YM0800X MH18368 FL Primary

Addresses

Primary practice location

2551 NW 103Rd Ave Apt 109
Sunrise, FL 33322-6805

Mailing address

2551 NW 103Rd Ave Apt 109
Sunrise, FL 33322-6805
Phone (754) 249-6359

Other practice location 1

3911 Hollywood Blvd
Hollywood, FL 33021-6795
Phone (954) 639-7345 ext. 95463

Other identifiers 1

IdentifierTypeStateIssuer
1770047797MedicaidFL

Other names 1

  • Aurilia Grimes Other name

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
IMH17344FLMDMental Health Counselor
MH18368FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aurilia'S Place a Place to Call Home LLC Mental Health CurrentSince Oct 9, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1770047797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NW 103RD AVE APT 109",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333226805",
            "telephone_number": "754-249-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 NW 103RD AVE APT 109",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333226805",
            "telephone_number": "754-249-6359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216795",
            "country_code": "US",
            "telephone_number": "954-639-7345 x95463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY-GRIMES",
        "first_name": "AURILIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17344",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770047797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AURILIA",
            "last_name": "GRIMES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.