Individual provider Active NPI

Heather Ann Grinar, MA, LPC

  • Professional Counselor
  • Havertown, PA
National Provider Identifier
1992009534
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005720 Issued in PA
Practice address
1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930
Phone
(610) 708-0721
Fax
(267) 285-1994
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005720 PA Primary

Addresses

Primary practice location

1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930

Mailing address

1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930
Phone (610) 708-0721

Other identifiers 1

IdentifierTypeStateIssuer
PC005720OtherPALPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240821002619 PA Practitioner - Mental Health Counselor 4587102512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Main Line LLC Professional Current Accepting new patients
Healing Arts Professional Consulting, LLC Professional Current Accepting new patients
Dtap Mental Health Services LLC CurrentSince Jun 9, 2024 Accepting new patients
The Progressions Companies, Inc. Past Accepting new patients

Locations

1120 W Township Line Rd
Ste 101
Havertown, PA 19083
Phone (267) 571-0383

Organizations & group practices 4

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1992009534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD STE 101",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "610-708-0721",
            "fax_number": "267-285-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD STE 101",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "610-708-0721",
            "fax_number": "267-285-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINAR",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "PC005720",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.