KATELYN MAE GRANT MS, LPC, NCC
NPI 1063869337
Counselor - Mental Health in Glendale, AZ

Active since May 17, 2016Opted out of Medicare · through Sep 1, 2027
18205 N 51ST AVE STE 136, GLENDALE, AZ 85308(480) 640-2998(866) 340-1836 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Oct 25, 2019, May 17, 2016 (3 updates tracked since 2016).

About Katelyn Mae Grant Ms, Lpc, Ncc NPPES

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

KATELYN MAE GRANT MS, LPC, NCC (NPI 1063869337) is an individual mental health provider in Glendale, Arizona, licensed in Arizona (LPC-18282) and active in the NPI registry since May 2016. She has opted out of Medicare through September 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063869337
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN MAE GRANTCredential: MS, LPC, NCC
Location Address18205 N 51ST AVE STE 136Glendale, AZ 85308-1492
Mailing Address18205 N 51st Ave Ste 136Glendale, AZ 85308-1492 · (480) 640-2998 · Fax (866) 340-1836
Fax(866) 340-1836
Sole ProprietorYes
Enumeration DateMay 17, 2016
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1063869337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in AZ · LPC-18282 Licensed in WI · 3012-226
18205 N 51ST AVE STE 136, Glendale, AZ 85308

Secondary Practice Locations 2

Location 1108 N Lincoln AveBeaver Dam, WI 53916-2110 · Phone (920) 887-8751 · Fax (920) 887-3977
Location 219820 N 7th St Ste 140Phoenix, AZ 85024-1691 · Phone (623) 487-7763 · Fax (623) 486-8276

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katelyn Mae Grant Ms, Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2025 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2025
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
18205 N 51ST AVE STE 136
GLENDALE, AZ 85308
Marriage & Family Therapist
18205 N 51ST AVE STE 136
GLENDALE, AZ 85308
Counselor (Mental Health)
18205 N 51ST AVE STE 136
GLENDALE, AZ 85308

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 Katelyn Grant's NPI number?

The NPI number for Katelyn Grant is 1063869337. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Katelyn Grant located?

Katelyn Grant practices at 18205 N 51st Ave Ste 136, Glendale, AZ 85308. The listed phone number is (480) 640-2998.

What is Katelyn Grant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katelyn Grant enrolled in Medicare?

No. Katelyn Grant has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katelyn Grant accept?

Health plans from Blue Cross Blue Shield of Arizona list Katelyn Grant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Grant was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.