MR. GRANT JUDSON GILL
NPI 1427667328
Counselor - Mental Health in North Bend, OR

Active since July 27, 2020PECOS Enrolled
1817 16TH ST, NORTH BEND, OR 97459(541) 297-6230 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Grant Judson Gill NPPES

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

MR. GRANT JUDSON GILL (NPI 1427667328) is an individual mental health provider in North Bend, Oregon and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427667328
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GRANT JUDSON GILL
Location Address1817 16TH STNorth Bend, OR 97459-2629
Mailing Address281 Laclair StCoos Bay, OR 97420-2988 · (541) 266-6700
Sole ProprietorYes
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
NPI 1427667328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1817 16TH ST, North Bend, OR 97459

Other Identifiers 1

MedicaidCMK7119BOR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Grant Judson Gill 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.

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 Grant Gill's NPI number?

The NPI number for Grant Gill is 1427667328. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Grant Gill located?

Grant Gill practices at 1817 16th St, North Bend, OR 97459. The listed phone number is (541) 297-6230.

What is Grant Gill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Grant Gill enrolled in Medicare?

Yes. Grant Gill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Gill was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.