1. Home
  2. Directory
  3. Tennessee
  4. Elizabethton
  5. Counselor
  6. NPI Profile

MS. JENNIFER LEA GRADY LPC-MHSP
NPI 1063595734
Counselor - Professional in Elizabethton, TN

Active since October 24, 2006
204 ROGOSIN DR STE 4, ELIZABETHTON, TN 37643(423) 542-9900(423) 543-0900 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer Lea Grady Lpc-mhsp NPPES

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

MS. JENNIFER LEA GRADY LPC-MHSP (NPI 1063595734) is an individual professional provider in Elizabethton, Tennessee, licensed in Tennessee (LPC0000002421) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063595734
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JENNIFER LEA GRADYCredential: LPC-MHSP
Location Address204 ROGOSIN DR STE 4Elizabethton, TN 37643-2965
Mailing Address204 Rogosin Dr Ste 4Elizabethton, TN 37643-2965 · (423) 542-9900 · Fax (423) 543-0900
Phone(423) 542-9900
Fax(423) 543-0900
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 26, 2013
✔ NPI 1063595734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · LPC0000002421
204 ROGOSIN DR STE 4, Elizabethton, TN 37643
Open in Google Maps ↗

Other Identifiers 1

Medicaid1517520TN

Other Providers at the Same Location NPPES

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

MR. BRANDON COLE LPC, MHSP
Counselor (Professional)
204 ROGOSIN DR STE 4
ELIZABETHTON, TN 37643
Carter County (423) 433-9739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Grady's NPI number?

The NPI number for Jennifer Grady is 1063595734. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jennifer Grady located?

Jennifer Grady practices at 204 Rogosin Dr Ste 4, Elizabethton, TN 37643. The listed phone number is (423) 542-9900.

What is Jennifer Grady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jennifer Grady was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.