Stefanie Rae Griglak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2450 S Vine Street
Denver, CO 80208

Phone

(303) 871-3626

NPI assigned

Oct 5, 2015

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

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Park Ridge Behavioral Healthcare LLCGroup PAC ID 6800281254, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Park Ridge Behavioral Healthcare, LLC

  • Clinical Psychologist
  • Casper, WY
  • NPI 1851624662
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Behavioral Healthcare, LLC

  • Professional Counselor
  • Casper, WY
  • NPI 1386915528
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1982074886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S VINE STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80208",
            "telephone_number": "303-871-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S VINE STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80208",
            "telephone_number": "303-871-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGLAK",
        "first_name": "STEFANIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard L Griffiths III, MD
• Thomas Lanfear Griffiths, MD
• Anne C Griggs
• Bertram L Griggs, ADDC
• Lisa Griggs, MA, LPC
• Koren Grigoryan
• William Grijalva
• Andrea L Grilli, MD
• Jean Michel R Grillon, M.D.
• Stephanie Grim, B.S.

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.