Individual provider Active NPI

Florent Grain, LCPC

  • Mental Health Counselor
  • Glen Burnie, MD
National Provider Identifier
1841861325
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11634 Issued in MD
Practice address
1410 Crain Hwy N Ste 2B
Glen Burnie, MD 21061-9304
Phone
(410) 553-4450
NPI assigned
Jul 7, 2021
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 LC11634 MD Primary

Addresses

Primary practice location

1410 Crain Hwy N Ste 2B
Glen Burnie, MD 21061-9304

Mailing address

1410 Crain Hwy N
Glen Burnie, MD 21061-9303
Phone (410) 553-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 3, 2024 through Sep 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11634MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Health Solutions - LLC CurrentSince Dec 8, 2024 Accepting new patients
Blue Ridge Behavioral Health Services, LLC Mental Health PastSince Jan 12, 2009 Accepting new patients

Locations

1410 Crain Hwy N
Ste 2B
Glen Burnie, MD 21061
Phone (410) 553-4450

Organizations & group practices 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1841861325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619303",
            "telephone_number": "410-553-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "410-553-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAIN",
        "first_name": "FLORENT",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.