Organization Active NPI

Grimes Healthcare, Inc.

  • Professional Counselor
  • Desoto, TX
National Provider Identifier
1932373016
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12493 Issued in TX
Legal business name
GRIMES HEALTHCARE, INC.
Practice address
1510 N Hampton Rd
Suite 250
Desoto, TX 75115-8300
Phone
(214) 502-6942
Fax
(214) 351-2884
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Ms. Jan C Grimes, LPC, RN
Title
Owner
Phone
(214) 502-6942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 12493 TX Primary

Addresses

Primary practice location

1510 N Hampton Rd
Suite 250
Desoto, TX 75115-8300

Mailing address

1510 N Hampton Rd
Suite 250
Desoto, TX 75115-8300
Phone (214) 502-6942

National Provider Directory

National Provider Directory

Locations

1510 N Hampton Rd
Ste 250
Desoto, TX 75115
Phone (214) 502-6942

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1932373016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N HAMPTON RD",
            "address_2": "SUITE 250",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158300",
            "telephone_number": "214-502-6942",
            "fax_number": "214-351-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N HAMPTON RD",
            "address_2": "SUITE 250",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158300",
            "telephone_number": "214-502-6942",
            "fax_number": "214-351-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMES HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-502-6942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.