Individual provider Active NPI

Angela Joyce Grandlienard, MA, LMHC

  • Mental Health Counselor
  • Fairmount, IN
National Provider Identifier
1770844276
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
108 S Main St
Fairmount, IN 46928-1923
Phone
(765) 293-2936
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

108 S Main St
Fairmount, IN 46928-1923

Mailing address

2522 E Quail Run
Marion, IN 46953-4728
Phone (517) 740-6663

Other practice location 1

304 N Walnut St
Fairmount, IN 46928-1458
Phone (765) 293-2936

Other names 1

  • Miss Angela Joyce Hinton Former 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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552780800000",
    "number": "1770844276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 E QUAIL RUN",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534728",
            "telephone_number": "517-740-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "FAIRMOUNT",
            "state": "IN",
            "postal_code": "469281923",
            "telephone_number": "765-293-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Fairmount",
            "state": "IN",
            "postal_code": "469281458",
            "country_code": "US",
            "telephone_number": "765-293-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDLIENARD",
        "first_name": "ANGELA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2019-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HINTON",
            "middle_name": "JOYCE",
            "prefix": "MISS",
            "credential": "MA, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairmount, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; 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.