MS. KERONICA GRANT
NPI 1639803398
Counselor - Mental Health in Valley Stream, NY

Active since July 10, 2022PECOS EnrolledAccepts Medicare Assignment
108 S FRANKLIN AVE STE 3, VALLEY STREAM, NY 11580(516) 668-6774 Get Directions Write a Review

NPPES record last updated: July 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Keronica Grant NPPES

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

MS. KERONICA GRANT (NPI 1639803398) is an individual mental health provider in Valley Stream, New York and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639803398
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KERONICA GRANT
Location Address108 S FRANKLIN AVE STE 3Valley Stream, NY 11580-6105
Mailing Address108 S Franklin AveValley Stream, NY 11580-6105
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2022
NPPES CertifiedJuly 10, 2022
✔ NPI 1639803398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 S FRANKLIN AVE STE 3, Valley Stream, NY 11580

Accepted 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

Ms. Keronica Grant 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 ID8527528272
PECOS Enrollment IDI20260902001721
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 Reassignment

Medicare enrollment records show Keronica Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
2581 ATLANTIC AVE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 47 clinicians in this Medicare group

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 11

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

Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580
Counselor (Mental Health)
108 S FRANKLIN AVE STE 3
VALLEY STREAM, NY 11580

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 Keronica Grant's NPI number?

The NPI number for Keronica Grant is 1639803398. It was assigned to this individual provider in the NPPES registry on July 10, 2022.

Where is Keronica Grant located?

Keronica Grant practices at 108 S Franklin Ave Ste 3, Valley Stream, NY 11580. The listed phone number is (516) 668-6774.

What is Keronica Grant's specialty?

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

Is Keronica Grant enrolled in Medicare?

Yes. Keronica Grant 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 organization bills Medicare for Keronica Grant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keronica Grant reassigns Medicare benefits to Institute For Community Living , Inc. (Brooklyn, NY). The 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 Keronica Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keronica Grant accept?

Health plans from Oscar Health list Keronica Grant 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 Keronica Grant was last updated on July 10, 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.