MRS. DONNA S. GRISHAM LADC
NPI 1508804352
Counselor - Addiction (Substance Use Disorder) in Portland, CT

Active since June 03, 2006PECOS Enrolled
553 PORTLAND COBALT RD, PORTLAND, CT 06480(860) 342-0760(860) 342-4226 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Donna S. Grisham Ladc NPPES

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

MRS. DONNA S. GRISHAM LADC (NPI 1508804352) is an individual addiction (substance use disorder) provider in Portland, Connecticut, licensed in Connecticut (000424) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508804352
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DONNA S. GRISHAMCredential: LADC
Location Address553 PORTLAND COBALT RDPortland, CT 06480-1968
Mailing Address553 Portland Cobalt RdPortland, CT 06480-1968 · (860) 342-0760 · Fax (860) 342-4226
Fax(860) 342-4226
Sole ProprietorYes
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 14, 2011
NPI 1508804352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 000424
553 PORTLAND COBALT RD, Portland, CT 06480

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Donna S. Grisham Ladc 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.

Other Providers at the Same Location NPPES 10

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

Dentist (General Practice)
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Marriage & Family Therapist
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Counselor (Professional)
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Dentist (General Practice)
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Counselor (Professional)
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Dentist (General Practice)
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Dentist
553 PORTLAND COBALT RD
PORTLAND, CT 06480
Marriage & Family Therapist
553 PORTLAND COBALT RD
PORTLAND, CT 06480

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 Donna Grisham's NPI number?

The NPI number for Donna Grisham is 1508804352. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Donna Grisham located?

Donna Grisham practices at 553 Portland Cobalt Rd, Portland, CT 06480. The listed phone number is (860) 342-0760.

What is Donna Grisham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Donna Grisham enrolled in Medicare?

Yes. Donna Grisham is registered in the Medicare PECOS enrollment system.

What insurance does Donna Grisham accept?

Health plans from Providence Health Plan list Donna Grisham 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 Donna Grisham was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.