Active NPI
Corbie Nathaniel Grimes II, MA LPC-S
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1912365461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60566
- Practice address
- 6010 Chisholm Cir
Amarillo, TX 79109-6702 - Phone
- (806) 335-5880
- Fax
- (806) 356-9046
- NPI assigned
- Jan 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60566 | TX | Primary |
Addresses
Primary practice location
6010 Chisholm Cir
Amarillo, TX 79109-6702
Mailing address
6010 Chisholm Cir
Amarillo, TX 79109-6702
Phone (806) 335-5880
Other practice location 1
19471 Fm 2590
Canyon, TX 79015-6184
Phone (806) 356-9047
Other practice location 2
940 Buena Vista St
Amarillo, TX 79106-4309
Phone (806) 352-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60566 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1912365461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 CHISHOLM CIR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791096702",
"telephone_number": "806-335-5880",
"fax_number": "806-356-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 CHISHOLM CIR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791096702",
"telephone_number": "806-335-5880",
"fax_number": "806-356-9046"
}
],
"practiceLocations": [
{
"address_1": "19471 Fm 2590",
"address_purpose": "LOCATION",
"city": "Canyon",
"state": "TX",
"postal_code": "790156184",
"country_code": "US",
"telephone_number": "806-356-9047",
"fax_number": "806-356-9046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 Buena Vista St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791064309",
"country_code": "US",
"telephone_number": "806-352-4110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMES",
"first_name": "CORBIE",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MA LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.