JAMES P GRIMM LCPC
NPI 1164728374
Counselor - Professional in Crystal Lake, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since February 04, 2011PECOS Enrolled

820 E TERRA COTTA AVE, SUITE 215, CRYSTAL LAKE, IL 60014(847) 913-0393(847) 913-9630 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About James P Grimm Lcpc NPPES

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

JAMES P GRIMM LCPC (NPI 1164728374) is an individual professional provider in Crystal Lake, Illinois, licensed in Illinois (180.001620) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164728374

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJAMES P GRIMMCredential: LCPC

Location Address820 E TERRA COTTA AVE, SUITE 215Crystal Lake, IL 60014-3649

Mailing Address1401 Mchenry Rd, Suite 122Buffalo Grove, IL 60089-1382 · (847) 913-0393 · Fax (847) 913-9630

Phone(847) 913-0393

Fax(847) 913-9630

Sole ProprietorNo

Enumeration DateFebruary 4, 2011

✔ NPI 1164728374 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 IL · 180.001620

820 E TERRA COTTA AVE, Crystal Lake, IL 60014

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James P Grimm Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.