Mary Grimaud, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1372 Issued in AL

Practice address

475 Providence Main St NW Ste 401
Huntsville, AL 35806-4818

Phone

(256) 716-0811

Fax

(256) 341-5265

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1790142834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356020988",
            "telephone_number": "256-341-0811",
            "fax_number": "256-341-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROVIDENCE MAIN ST NW STE 401",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064818",
            "telephone_number": "256-716-0811",
            "fax_number": "256-341-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMAUD",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annah M Griffith, CRNP
• Jason Griffith, PHARM. D.
• Rolf Parker Griffith Sr., MD
• Thomas Harris Griffith, M.D.
• Thomas McKay Griggs, M.D.
• Julie Anne Grimes Mumfrey, M.D.
• Tara Grimes
• Emily Anne Latta Grisham, D.M.D
• Sean Patrick Groark, M.D.
• Kerri Brooke Groce, LMT

• Professional Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.