Jeanne Ann Grymko, L.P.C., C.A.A.D.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

010090 Issued in PA

Practice address

15 E Turner St
Forty Fort, PA 18704-4913

Phone

(570) 313-6449

NPI assigned

Jan 20, 2012

Last updated

Jan 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jeanne Ann Davenport Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1831460971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E TURNER ST",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044913",
            "telephone_number": "570-313-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E TURNER ST",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044913",
            "telephone_number": "570-313-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYMKO",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.C., C.A.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "DAVENPORT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Gernhardt, DO
• Roy Walter Gernhardt III, M.D., PC
• Harold Thomas Glatz, MSPT
• Kenneth M Granahan, MPT
• Robert Edward Griffin, PSYCHOLOGIST
• John Michael Guarnieri, D.C.
• Louis John Guarnieri, DC
• Nancy M. Guarnieri, D.C
• Erica Haefele, OTR/L
• Michaela Hamilton

• Professional Counselor in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.