Charla Grim, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Lenni St
Kutztown, PA 19530-1707

Phone

(484) 802-7968

NPI assigned

May 31, 2017

Last updated

May 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1902334253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LENNI ST",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LENNI ST",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301707",
            "telephone_number": "484-802-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "CHARLA",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Rose Febbraro, PA-C
• Nicole Fehr
• Jodi Lynn Follweiler, L.H.I.S.
• Dennis Jerome Geiger, PH.D.
• Rachel Rebekah Glowaski, DPT
• Virginia S Grim, AUD
• Kiana Haring
• Julia Hetrick, PAC
• Wendy Hill
• Terry Ann Hinkle

• Mental Health Counselor in Kutztown, PA
• Providers in Kutztown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.