NPIMap

Organization Active NPI

Katie Grant

  • Professional Counselor
  • Rock Island, IL
National Provider Identifier
1902149115
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007951 Issued in IL
Legal business name
KATIE GRANT
Practice address
1800 3Rd Ave
Suite 612
Rock Island, IL 61201-8026
Phone
(563) 676-6136
Fax
(815) 377-2599
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Katie Grant, MS, LCPCNPI 1538288212
Title
Owner
Phone
(563) 676-6136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.007951 IL Primary

Addresses

Primary practice location

1800 3Rd Ave
Suite 612
Rock Island, IL 61201-8026

Mailing address

528 W 30TH St
Davenport, IA 52803-1016
Phone (563) 676-6136

National Provider Directory

National Provider Directory

Locations

1800 3rd Ave
Ste 612
Rock Island, IL 61201
Phone (563) 676-6136

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1902149115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W 30TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031016",
            "telephone_number": "563-676-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 3RD AVE",
            "address_2": "SUITE 612",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018026",
            "telephone_number": "563-676-6136",
            "fax_number": "815-377-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-676-6136",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.