MRS. NICOLE ELENA GRIMM (NPI# 1396070389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396070389 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE ELENA GRIMM |
| Credential | L.P.C. |
| Practice Address |
100 Mccollum St Ste 2 Clemson SC 29631-1532 |
| Practice Telephone | 8647100391 |
| Mailing Telephone | 8647100391 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6599 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012995 | Nicole Grimm | Homemaker | 19 Main St, Elkins, WV 26241-3125 | 2020-10-29 |
| 1710493754 | Nicole Renee Grimm | Physical Therapist | 88 Inverness Cir E, Englewood, CO 80112-5304 | 2017-12-27 |
| 1104199843 | Nicole Lee Grimm | Registered Nurse | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2012-02-10 |
| 1437346194 | Nicole Yvonne Grimm | Specialist | 6405 Metcalf Ave, Suite 220, Overland Park, KS 66202-3927 | 2007-09-26 |
| Street Address |
100 MCCOLLUM ST STE 2 |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346864683 | Elizabeth A Venable | Counselor | 100 Mccollum St Ste 2, Clemson, SC 29631-1532 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960151 | Alison Lynne Cory | Counselor | 209c Pendleton Rd Ste C, Clemson, SC 29631-2262 | 2019-12-23 |
| 1043564453 | Kelly Mozelle Bollinger | Counselor | 735 Mcmillan Rd, Clemson, SC 29634-4022 | 2012-11-07 |
| 1942440896 | George R. Rhodes | Counselor | 398 College Ave, Clemson, SC 29631-1432 | 2009-03-04 |
| 1467665547 | Clemson Counseling Associates LLC | Counselor | 214 Keowee Trl, Clemson, SC 29631-1448 | 2007-05-07 |
| 1851515480 | Kathleen Marie May | Counselor | 214 Keowee Trl, Clemson, SC 29631-1448 | 2007-04-13 |
| 1124105572 | Jake Stewart Mckinney | Counselor | 214 Keowee Trl, Clemson, SC 29631-1448 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1902413214 | Kasey Knight Ennis | Counselor | 9260 Asbury Ln, Fort Mill, SC 29707-7527 | 2020-09-30 |
| 1467068585 | Tranquility Counseling | Counselor | 1101 Sweetwater Blvd, Murrells Inlet, SC 29576-8872 | 2020-09-23 |
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1447863196 | Brenda K Ishmael | Counselor | 232 Neeses Camp Rd, Neeses, SC 29107-9428 | 2020-08-24 |
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1427675438 | Melissa Nickens Mcbride | Counselor | 2625 Fossil Ln, Sumter, SC 29153-9519 | 2020-06-25 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.