JENNIFER STUART GRISSOM
NPI 1659055507
Counselor - Mental Health in Shallotte, NC

Q: What is Jennifer Grissom's NPI number?

The NPI number for Jennifer Grissom is 1659055507. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Jennifer Stuart Pappas Lmhp-R.

Q: What is Jennifer Grissom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Grissom was last updated on June 12, 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.

Active since June 12, 2023

5320 BRIDGERS RD STE 4, SHALLOTTE, NC 28470(910) 769-9126 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Stuart Grissom NPPES

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

JENNIFER STUART GRISSOM (NPI 1659055507) is an individual mental health provider in Shallotte, North Carolina, licensed in Virginia (0704013796) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1659055507

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER STUART GRISSOM

Location Address5320 BRIDGERS RD STE 4Shallotte, NC 28470-4737

Mailing Address6472 Rolling Run RdSouthport, NC 28461-8302

Phone(910) 769-9126

Sole ProprietorYes

Enumeration DateJune 12, 2023

NPPES CertifiedJune 12, 2023

✔ NPI 1659055507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0704013796

5320 BRIDGERS RD STE 4, Shallotte, NC 28470

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Other Names 1

Former Name (1)Jennifer Stuart Pappas Lmhp-r

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 Jennifer Grissom's NPI number?

The NPI number for Jennifer Grissom is 1659055507. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Jennifer Stuart Pappas Lmhp-R.

Where is Jennifer Grissom located?

Jennifer Grissom practices at 5320 Bridgers Rd Ste 4, Shallotte, NC 28470. The listed phone number is (910) 769-9126.

What is Jennifer Grissom's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Grissom was last updated on June 12, 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.