Individual provider Active NPI

Marian Grant, LPCA

  • Professional Counselor
  • Elizabethtown, KY
National Provider Identifier
1851942320
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
251210 Issued in KY
Practice address
110 Helm St
Elizabethtown, KY 42701-1496
Phone
(270) 506-2967
Fax
(270) 900-1674
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 251210 KY Primary

Addresses

Primary practice location

110 Helm St
Elizabethtown, KY 42701-1496

Mailing address

827 Joe Tom Grant Rd
Glens Fork, KY 42741-7823
Phone (270) 378-1782

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
251210KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Health, PLLC CurrentSince Sep 29, 2019 Accepting new patients

Locations

110 Helm St
Elizabethtown, KY 42701
Phone (270) 312-3861

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1851942320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 JOE TOM GRANT RD",
            "city": "GLENS FORK",
            "state": "KY",
            "postal_code": "427417823",
            "telephone_number": "270-378-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HELM ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011496",
            "telephone_number": "270-506-2967",
            "fax_number": "270-900-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MARIAN",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "251210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.