Individual provider Active NPI

Karen Sue Grigry, MED LPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1902964687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC#276 Issued in MT
Practice address
1609 W Babcock STR
Suite C
Bozeman, MT 59715-4018
Phone
(406) 586-0093
Fax
(406) 587-1821
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LPC#276 MT Primary

Addresses

Primary practice location

1609 W Babcock STR
Suite C
Bozeman, MT 59715-4018

Mailing address

1609 W Babcock STR
Suite #C
Bozeman, MT 59715-4018
Phone (406) 586-0093

Other identifiers 2

IdentifierTypeStateIssuer
74750OtherMTBCBS
0254864MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20240725004061 MT Practitioner - Mental Health Counselor 3577900042 Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2149 W Durston
Suite 31
Bozeman, MT 59715-2804
Phone (406) 579-7276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC#276MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902964687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W BABCOCK STR",
            "address_2": "SUITE #C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154018",
            "telephone_number": "406-586-0093",
            "fax_number": "406-587-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W BABCOCK STR",
            "address_2": "SUITE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154018",
            "telephone_number": "406-586-0093",
            "fax_number": "406-587-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGRY",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MED LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "LPC#276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74750",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254864",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.