Active NPI
Kristin M Grems, LPC, LAC
- Professional Counselor
- Eagle, CO
National Provider Identifier
1801977970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4457
- Practice address
- 137 Howard Street
Eagle, CO 81631 - Phone
- (970) 328-6969
- Fax
- (970) 328-6329
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4457 | CO | MD | Professional Counselor |
| 424 | CO | MD | Physician Assistant |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4457 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 424 | CO |
Addresses
NPPES NPI RegistryPrimary practice location
137 Howard Street
Eagle, CO 81631
Mailing address
715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2014.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1801977970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HORIZON DR",
"address_2": "STE 225",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068700",
"telephone_number": "970-683-7107",
"fax_number": "970-683-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HOWARD STREET",
"city": "EAGLE",
"state": "CO",
"postal_code": "81631",
"telephone_number": "970-328-6969",
"fax_number": "970-328-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREMS",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4457",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.