Individual provider Active NPI

Araceli Grant, MSED, LMHC, LCAC

  • Mental Health Counselor
  • Warsaw, IN
National Provider Identifier
1922313519
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002444A Issued in IN
Practice address
65 EMS C29 LN
Warsaw, IN 46582-9098
Phone
(317) 693-9817
Fax
(574) 267-2251
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002444A IN Primary

Addresses

Primary practice location

65 EMS C29 LN
Warsaw, IN 46582-9098

Mailing address

65 EMS C29 LN
Warsaw, IN 46582-9098
Phone (317) 693-9817

Other names 1

  • Araceli Bustos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39002444AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Araceli Grant Mental Health CurrentSince Nov 22, 2020 Accepting new patients

Locations

1128 E Winona Ave
Ste A2
Warsaw, IN 46580
Phone (317) 693-9817

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1922313519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 EMS C29 LN",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829098",
            "telephone_number": "317-693-9817",
            "fax_number": "574-267-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EMS C29 LN",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829098",
            "telephone_number": "317-693-9817",
            "fax_number": "574-267-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ARACELI",
        "credential": "MSED, LMHC, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARACELI",
            "last_name": "BUSTOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.