MRS. NICOLE M GRANT M. ED., LPC
NPI 1649613381
Counselor - Mental Health in Tyler, TX
About Mrs. Nicole M Grant M. Ed., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE M GRANT M. ED., LPC (NPI 1649613381) is an individual mental health provider in Tyler, Texas, licensed in Texas (18777) and active in the NPI registry since April 2013. She has opted out of Medicare through March 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Nicole M Grant M. Ed., Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2024 through March 26, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75703
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 Nicole Grant's NPI number?
The NPI number for Nicole Grant is 1649613381. It was assigned to this individual provider in the NPPES registry on April 11, 2013.
Where is Nicole Grant located?
Nicole Grant practices at 2624 Kensington Dr Ste 112, Tyler, TX 75703. The listed phone number is (903) 530-2290.
What is Nicole Grant's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Grant enrolled in Medicare?
No. Nicole Grant has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Nicole Grant accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Nicole 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 Nicole Grant was last updated on August 19, 2021. 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.
# Mrs. Nicole M Grant, M. ED., LPC · NPI 1649613381
Mental Health provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since April 11, 2013.
## Identity
- **NPI:** 1649613381 (Entity type: Individual)
- **Enumerated:** April 11, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 18777 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2624 KENSINGTON DR STE 112, Tyler, TX 75703-2734
- **Phone:** (903) 530-2290
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 19, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1649613381) · Data from the CMS NPPES public registry.