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GRACE SHADE LPCC
NPI 1407369978
Counselor in Bowling Green, OH

Active since November 07, 2017PECOS EnrolledAccepts Medicare Assignment
1234 RIDGEWOOD DR STE C, BOWLING GREEN, OH 43402(419) 408-5533 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, Nov 7, 2017 (2 updates tracked since 2017).

About Grace Shade Lpcc NPPES

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

GRACE SHADE LPCC (NPI 1407369978) is an individual counselor in Bowling Green, Ohio, licensed in Ohio (E.1901560) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Findlay, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407369978
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameGRACE SHADECredential: LPCC
Location Address1234 RIDGEWOOD DR STE CBowling Green, OH 43402-2695
Mailing Address1234 Ridgewood Dr Ste CBowling Green, OH 43402-2695 · (419) 408-5533
Phone(419) 408-5533
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 7, 2017
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1407369978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in OH · E.1901560✔ Licensed in OH · C.1700642
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1234 RIDGEWOOD DR STE C, Bowling Green, OH 43402
Open in Google Maps ↗

Secondary Practice Location 1

Location 19033 Dold DrFindlay, OH 45840-1671 · Phone (419) 890-6875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Shade Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193267599
PECOS Enrollment IDI20240612002708
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Shade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presence Of Mind Counseling
Same address
Mental Health
1234 RIDGEWOOD DR STE C
Bowling Green, OH 43402
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1174253108 (419) 408-5533
Ohioguidestone
81 mi
Family Medicine
2173 N RIDGE RD E STE G
Lorain, OH 44055
  • Reassigned Medicare billing, Ohio enrollment
  • 234 clinicians in this Medicare group
NPI 1487452603 (440) 260-8300

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

Other Providers at the Same Location NPPES 6

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

KELSEY JENAE HAMPTON LPC
Counselor
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (419) 408-5533
LEANDER FILES
Case Manager/Care Coordinator
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (855) 289-1722
PRESENCE OF MIND COUNSELING
Counselor (Mental Health)
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (419) 408-5533
KATI LIN GRAHAM RN
Registered Nurse
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (419) 419-6204
TRACY LYNN ALLEN LPCC-S
Counselor
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (419) 494-7141
JENNIFER BLASINGIM
Case Manager/Care Coordinator
1234 RIDGEWOOD DR STE C
BOWLING GREEN, OH 43402
Wood County (855) 289-1722

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 Shade's NPI number?

The NPI number for Grace Shade is 1407369978. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Grace Shade located?

Grace Shade practices at 1234 Ridgewood Dr Ste C, Bowling Green, OH 43402. The listed phone number is (419) 408-5533.

What is Grace Shade's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Grace Shade enrolled in Medicare?

Yes. Grace Shade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grace Shade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Shade reassigns Medicare benefits to 2 organizations: Presence Of Mind Counseling (Bowling Green, OH) and Ohioguidestone (Lorain, OH). Each 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 Grace Shade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Shade accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Grace Shade 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 Grace Shade was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.