GRACEFUL GROWTH CLINIC
NPI 1144065202
Counselor - Mental Health in Tooele, UT

Active since June 28, 2024
66 W VINE ST STE 6, TOOELE, UT 84074(801) 928-8980 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Jun 28, 2024 (2 updates tracked since 2024).

About Graceful Growth Clinic NPPES

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

GRACEFUL GROWTH CLINIC (NPI 1144065202) is a healthcare organization registered as a mental health in Tooele, Utah and active in the NPI registry since June 2024. The organization lists Miriam Buell, Lcmhc/owner, as its authorized official.

NPPES Registry Identity

NPI1144065202
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGRACEFUL GROWTH CLINIC LLC
Location Address66 W VINE ST STE 6Tooele, UT 84074-2185
Mailing Address657 E 980 NTooele, UT 84074-9833 · (801) 928-8980
Organization SubpartNo
Authorized OfficialMiriam BuellLcmhc/owner · (385) 409-0363
Enumeration DateJune 28, 2024
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1144065202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
66 W VINE ST STE 6, Tooele, UT 84074

Other Names 1

Doing Business AsGraceful Growth Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graceful Growth Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Graceful Growth Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1063995165
22 W VINE ST
Tooele, UT 84074
(385) 409-0363
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Graceful Growth Clinic LLC's NPI number?

The NPI number for Graceful Growth Clinic LLC is 1144065202. It was assigned to this organization in the NPPES registry on June 28, 2024. The provider is doing business as Graceful Growth Clinic.

Where is Graceful Growth Clinic LLC located?

Graceful Growth Clinic LLC is located at 66 W Vine St Ste 6, Tooele, UT 84074. The listed phone number is (801) 928-8980.

What is Graceful Growth Clinic LLC's specialty?

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

Is Graceful Growth Clinic LLC enrolled in Medicare?

Yes. Graceful Growth Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graceful Growth Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Graceful Growth Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Graceful Growth Clinic LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Graceful Growth Clinic LLC 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 Graceful Growth Clinic LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.