Jessica N Grogan, LICSW-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

4416C-S Issued in AL

Practice address

4 Office Park Cir Ste 212
Mountain BRK, AL 35223-2538

Phone

(205) 281-9091

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Golden Light Counseling LLC

  • Community/Behavioral Health Agency
  • Mountain BRK, AL
  • NPI 1629854757
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1942809843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HICKORY ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061615",
            "telephone_number": "205-282-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 212",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232538",
            "telephone_number": "205-281-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "LICSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "4416C-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Eckford Grantier, CRNP
• Jane Harden Greene
• Nancy Enger Gregg, M.S., CCC-SLP, LSLS
• Hayden Griffin, LAT, ATC
• Lakendra Grimes, LICSW
• Katie Grubbs, PHARMD
• Leah Margaret Guarisco, PA-C
• Cheryl Guthrie, PA-C
• Rachel Hamm, RN, BSN, NTP
• Lynae Jane Hanks, RDN

• Counselor in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.