ETHAN NATHANIEL GRIMES


Address: 124 Cisco Rd, Lexington, KY 40504-1143
Phone: 8592531686

ETHAN NATHANIEL GRIMES (NPI# 1326588120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326588120
Entity Type Individual
Full Name ETHAN NATHANIEL GRIMES
Practice Address 124 Cisco Rd
Lexington
KY 40504-1143
Practice Telephone 8592531686
Mailing Telephone 8592531686
Enumeration Date 2017-02-28
Last Update Date 2017-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 1790731081 05

Office Location

Street Address 124 CISCO RD
City LEXINGTON
State KY
Zip Code 40504-1143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538682059 Marie Ann Farkas Community Health Worker 124 Cisco Rd, Lexington, KY 40504-1143 2017-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809953 Michael Jason Blocker Registered Nurse 1 St Hoseph Drive, Lexington, KY 40504 2020-04-09
1841842010 Jessica Brooke Castleberry Counselor Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 2019-07-09
1528554474 Hillcrest Pain & Spine Pllc Pain Medicine 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
1831495506 Horizon Headache Center, Pllc Physical Therapist 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 2011-01-28
Find all providers in zip 40504

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548860752 Tyler Douglas Choate Counselor 908 Star of Danube Way, Lexington, KY 40509-4473 2020-10-27
1447862560 New Moon Counseling and Wellness, LLC Counselor 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 2020-08-19
1194370429 Brain Health Center Psc Counselor 535 W Second St Ste 205, Lexington, KY 40508-2183 2019-08-05
1841842010 Jessica Brooke Castleberry Counselor Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 2019-07-09
1083120620 Diana Reiss Counselor 714 S Lake Drive, 120, Lexington, SC 29072 2017-12-19
1669911202 Suzanne Rose Troy Counselor 110-a Cotton Grove Rd., Lexington, NC 27292 2017-02-15
1265977342 Tara Bangtson Counselor 251 E Maxwell St, Lexington, KY 40508-2636 2016-12-28
1265974828 Megan Perkins Counselor 464 W Second St # 9, Lexington, KY 40507-1040 2016-11-14
1851768436 Rebecca Lynn Host Counselor 128 Dennis Dr, Lexington, KY 40503-2917 2015-08-30
1144608944 Courtney Mcmillian Counselor 582 Wrenn Dr, Lexington, NC 27292-7598 2015-05-12
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 40504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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