MICHELLE GRISSOM MS, LPC
NPI 1023254554
Counselor in Casper, WY

Q: What is Michelle Grissom's NPI number?

The NPI number for Michelle Grissom is 1023254554. It was assigned to this individual provider in the NPPES registry on January 6, 2009. The provider is also known as Lora Michelle Suedekum, Russell, Schuetz.

Q: What is Michelle Grissom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Grissom was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 06, 2009PECOS EnrolledAccepts Medicare Assignment

1430 WILKINS CIRCLE, CASPER, WY 82601(307) 237-9583(307) 265-7277 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michelle Grissom Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE GRISSOM MS, LPC (NPI 1023254554) is an individual counselor in Casper, Wyoming, licensed in Wyoming (LPC-349) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1023254554

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMICHELLE GRISSOMCredential: MS, LPC

Location Address1430 WILKINS CIRCLECasper, WY 82601-1336

Mailing Address1430 Wilkins CircleCasper, WY 82601-1336 · (307) 237-9583 · Fax (307) 265-7277

Phone(307) 237-9583

Fax(307) 265-7277

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 6, 2009

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1023254554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WY · LPC-349

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.

1430 WILKINS CIRCLE, Casper, WY 82601

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Other Names 1

Former Name (1)Lora Michelle Suedekum, Russell, Schuetz

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Grissom Ms, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486098324

PECOS Enrollment IDI20240219001884

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JANE ELIZABETH MATTHEWS M.S., P.P.C.

Counselor