Grit and Grace Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRIT AND GRACE COUNSELING LLC

Practice address

312 E Dupont Rd Ste 101
Fort Wayne, IN 46825-8000

Phone

(260) 227-5900

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Kelsey TiernonNPI 1952828014

Title

Owner/Founder

Phone

(260) 227-5900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey E. Tiernon, MA

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1952828014

  IN

  Medicare reassignment Authorized official
• Danny M Anderson Jr., LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1043944176
  NPD
• Sarah Bone, PT, DPT

  • Orthopedic Physical Therapist
  • Fort Wayne, IN
  • NPI 1568245785

  Single Specialty

  NPD
• Heather D Christlieb, PT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1508962028
  NPD
• Judy Lagrange, PT

  • Specialist
  • Fort Wayne, IN
  • NPI 1184711889
  NPD
• Tonya Windsor, PT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1558469973
  NPD
• Lauren Champion, DPT

  • Physical Therapist
  • Waupaca, WI
  • NPI 1952918468
  NPD
• Rachel Proctor, PT, DPT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1578930525
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1871244657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 BEINEKE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E DUPONT RD STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468258000",
            "telephone_number": "260-227-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIT AND GRACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "TIERNON",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "260-227-5900"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Timothy Grimm, M.D.
• John Grimshaw, FNP-C
• Emily Grindley
• Tyra Karmelle Grischke
• Timothy J Grissom, M.D.
• Ashley M Groeller, PAC
• Richele Groeneweg
• Ashley Grogg, MSN-RN
• Jeremy Ryan Grogg, M.D.
• Justin Grogg

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.