Individual provider Active NPI

Carol V Grande, LMHC,ICADC,CAP,CEAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1790178267
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3193 Issued in FL
Practice address
8837 Goodbys Executive Dr Ste 205
Jacksonville, FL 32217-4605
Phone
(904) 610-9269
Fax
(904) 515-5784
NPI assigned
Mar 9, 2015
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 MH3193 FL Primary

Addresses

Primary practice location

8837 Goodbys Executive Dr Ste 205
Jacksonville, FL 32217-4605

Mailing address

9210 Saffron CT
Jacksonville, FL 32257-8065
Phone (904) 477-1776

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
MH3193FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Counseling & Consulting, LLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

2950 Halcyon Ln
Ste 701
Jacksonville, FL 32223
Phone (904) 292-2407

8837 Goodbys Executive Dr
Ste 205
Jacksonville, FL 32217
Phone (904) 610-9269

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1790178267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 SAFFRON CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578065",
            "telephone_number": "904-477-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR STE 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174605",
            "telephone_number": "904-610-9269",
            "fax_number": "904-515-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "CAROL",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LMHC,ICADC,CAP,CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.