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MRS. ANJA LEE GRISSOM MED & LPC
NPI 1235329699
Counselor - Professional in Konawa, OK

Active since July 31, 2007
527 W 3RD ST, KONAWA, OK 74849(580) 925-3286(580) 925-2362 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Anja Lee Grissom Med & Lpc NPPES

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

MRS. ANJA LEE GRISSOM MED & LPC (NPI 1235329699) is an individual professional provider in Konawa, Oklahoma, licensed in Oklahoma (2478) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1235329699
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANJA LEE GRISSOMCredential: MED & LPC
Location Address527 W 3RD STKonawa, OK 74849-1415
Mailing Address527 W 3rd StKonawa, OK 74849-1415 · (580) 925-3286 · Fax (580) 925-2362
Phone(580) 925-3286
Fax(580) 925-2362
Sole ProprietorNo
Enumeration DateJuly 31, 2007
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1235329699 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 OK · 2478
527 W 3RD ST, Konawa, OK 74849
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Anja Lee Heidgerken

Other Identifiers 1

Other2478OK · Ok State Dept Of Hlth

Other Providers at the Same Location NPPES 20

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

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-8911
SANDRA DYE
Student in an Organized Health Care Education/Training Program
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-3286
TRENTON JAMES MCCLELLAN
Counselor (Mental Health)
527 W 3RD ST
KONAWA, OK 74849
Seminole County (405) 584-4078
KOLBY LEN COX
Pharmacist
527 W 3RD ST
KONAWA, OK 74849
Seminole County (405) 925-3286
MELINDA LEA AHREND D.D.S
Dentist
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-3286
PAUL R GRIMES PHARMD
Pharmacist
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-8855
CAROL MICHELLE MELTON
Student in an Organized Health Care Education/Training Program
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-3286
ROZINA NEWBY
Counselor (Mental Health)
527 W 3RD ST
KONAWA, OK 74849
Seminole County (580) 925-3286

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 Anja Grissom's NPI number?

The NPI number for Anja Grissom is 1235329699. It was assigned to this individual provider in the NPPES registry on July 31, 2007. The provider is also known as Ms. Anja Lee Heidgerken.

Where is Anja Grissom located?

Anja Grissom practices at 527 W 3rd St, Konawa, OK 74849. The listed phone number is (580) 925-3286.

What is Anja Grissom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Anja Grissom was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.