Active NPI
Tiaisha-Nicol Grant, MHC
- Mental Health Counselor
- Valley Stream, NY
National Provider Identifier
1942083050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105 - Phone
- (516) 303-9925
- NPI assigned
- Aug 14, 2023
- Last updated
- Aug 14, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105
Mailing address
95 Palmetto St Apt 3a
Brooklyn, NY 11221-4950
Phone (347) 204-9466
Other practice location 1
95 Palmetto St Apt 3A
Brooklyn, NY 11221-4950
Phone (347) 204-9466
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1942083050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 PALMETTO ST APT 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112214950",
"telephone_number": "347-204-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S FRANKLIN AVE STE 3",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806105",
"telephone_number": "516-303-9925"
}
],
"practiceLocations": [
{
"address_1": "95 Palmetto St Apt 3A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112214950",
"country_code": "US",
"telephone_number": "347-204-9466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "TIAISHA-NICOL",
"credential": "MHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.