MAE MARIE GRANT LPC, NCC
NPI 1194460485
Counselor - Professional in Austin, TX
About Mae Marie Grant Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAE MARIE GRANT LPC, NCC (NPI 1194460485) is an individual professional provider in Austin, Texas, licensed in Texas (82430) and active in the NPI registry since May 2022. She has opted out of Medicare through May 14, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mae Marie Grant 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 May 14, 2024 through May 14, 2028.
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 Mae Grant's NPI number?
The NPI number for Mae Grant is 1194460485. It was assigned to this individual provider in the NPPES registry on May 1, 2022.
Where is Mae Grant located?
Mae Grant practices at 8717 White Ibis Dr, Austin, TX 78729. The listed phone number is (512) 695-6755.
What is Mae Grant's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mae Grant enrolled in Medicare?
No. Mae Grant has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mae Grant was last updated on May 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mae Marie Grant, LPC, NCC · NPI 1194460485
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since May 1, 2022.
## Identity
- **NPI:** 1194460485 (Entity type: Individual)
- **Enumerated:** May 1, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 82430 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8717 WHITE IBIS DR, Austin, TX 78729-8077
- **Phone:** (512) 695-6755
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194460485) · Data from the CMS NPPES public registry.