GRACE THERAPEUTIC SERVICES LLC
NPI 1174088520
Counselor - Professional in Southampton, PA
About Grace Therapeutic Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE THERAPEUTIC SERVICES LLC (NPI 1174088520) is a healthcare organization registered as a professional in Southampton, Pennsylvania and active in the NPI registry since February 2019. The organization lists Joseph R Donnelly, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Therapeutic Services Llc 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 Grace Therapeutic Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Grace Therapeutic Services LLC's NPI number?
The NPI number for Grace Therapeutic Services LLC is 1174088520. It was assigned to this organization in the NPPES registry on February 8, 2019.
Where is Grace Therapeutic Services LLC located?
Grace Therapeutic Services LLC is located at 1111 Street Rd Ste 101, Southampton, PA 18966. The listed phone number is (215) 740-9875.
What is Grace Therapeutic Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Grace Therapeutic Services LLC enrolled in Medicare?
Yes. Grace Therapeutic Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Therapeutic Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Grace Therapeutic Services 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.
When was this NPI record last updated?
The NPPES record for Grace Therapeutic Services LLC was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Grace Therapeutic Services Llc · NPI 1174088520
Professional organization in Southampton, Pennsylvania. Organization record, active in the CMS NPPES registry since February 8, 2019.
## Identity
- **NPI:** 1174088520 (Entity type: Organization)
- **Enumerated:** February 8, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Joseph Donnelly, CEO
## Practice location
- **Address:** 1111 STREET RD STE 101, Southampton, PA 18966-4250
- **Phone:** (215) 740-9875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1174088520) · Data from the CMS NPPES public registry.