Elizabeth Jane Grant, M.S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3218-226 Issued in WI

Practice address

1971 Washington St
Suite 200
Grafton, WI 53024-2122

Phone

(262) 377-6276

Fax

(262) 377-6289

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Trilogy Counseling Services, LLC

  • Professional Counselor
  • Grafton, WI
  • NPI 1760233266
  Medicare reassignment NPD
• Alarus Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Grafton, WI
  • NPI 1457788242
  NPD (past)
• Alarus Home Health LLC

  • In Home Supportive Care Agency
  • Grafton, WI
  • NPI 1164834974
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1891231999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W FLORIDA ST",
            "address_2": "APT 716",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041509",
            "telephone_number": "847-530-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242122",
            "telephone_number": "262-377-6276",
            "fax_number": "262-377-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18021-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3218-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry M Gould, MD
• Gina Grady
• Grafton Family Eye Care LLC
• Grafton School District
• Grafton Volunteer Fire Department Inc
• David Allen Grisar, D.D.S.
• Tyler Matthew Grisar, DDS
• Adam Groose, M.S., LAT, PES
• Jennifer Grossmeyer
• Jeremy M Groth, M.D.

• Professional Counselor in Grafton, WI
• Providers in Grafton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.