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TANNER GRIMSLEY LAC
NPI 1922342955
Counselor - Addiction (Substance Use Disorder) in Grand Forks, ND

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
2424 32ND AVE S STE 202, GRAND FORKS, ND 58201(701) 746-6336(701) 772-1030 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanner Grimsley Lac NPPES

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

TANNER GRIMSLEY LAC (NPI 1922342955) is an individual addiction (substance use disorder) provider in Grand Forks, North Dakota, licensed in North Dakota (1692) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1922342955
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTANNER GRIMSLEYCredential: LAC
Location Address2424 32ND AVE S STE 202Grand Forks, ND 58201-6545
Mailing Address2424 32nd Ave S Ste 202Grand Forks, ND 58201-6545 · (701) 746-6336 · Fax (701) 772-1030
Phone(701) 746-6336
Fax(701) 772-1030
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1922342955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1692
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 850-10-1-15A (ND)
2424 32ND AVE S STE 202, Grand Forks, ND 58201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Tanner Grimsley Lac 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 ID143722207
PECOS Enrollment IDI20250910001102
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 Reassignments

2

Medicare enrollment records show Tanner Grimsley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christian Unity Hospital Corporation
40 mi
Rural Health
164 W 13TH ST
Grafton, ND 58237
  • Reassigned Medicare billing, North Dakota enrollment
  • 23 clinicians in this Medicare group
NPI 1558423665 (701) 352-1620
Turning Point Behavioral Health PLLC
268 mi
Substance Abuse Rehabilitation Facility
211 NW 1ST ST
Madison, SD 57042
  • Reassigned Medicare billing, North Dakota enrollment
NPI 1356191837 (605) 556-0160

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 5

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

ANDREA ROSE DOYON
Student in an Organized Health Care Education/Training Program
2424 32ND AVE S STE 202
GRAND FORKS, ND 58201
Grand Forks County (701) 746-6336
ANNA NGUYEN M.A.
Psychologist (Counseling)
2424 32ND AVE S STE 202
GRAND FORKS, ND 58201
Grand Forks County (701) 746-6336
CRAIG E DAVIS LAC
Counselor (Addiction (Substance Use Disorder))
2424 32ND AVE S STE 202
GRAND FORKS, ND 58201
Grand Forks County (701) 746-6336
LORI C MOHAGEN LAC
Counselor (Addiction (Substance Use Disorder))
2424 32ND AVE S STE 202
GRAND FORKS, ND 58201
Grand Forks County (701) 746-6336
KARIN L WALTON PH.D.
Counselor (Addiction (Substance Use Disorder))
2424 32ND AVE S STE 202
GRAND FORKS, ND 58201
Grand Forks County (701) 746-6336

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 Tanner Grimsley's NPI number?

The NPI number for Tanner Grimsley is 1922342955. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Tanner Grimsley located?

Tanner Grimsley practices at 2424 32nd Ave S Ste 202, Grand Forks, ND 58201. The listed phone number is (701) 746-6336.

What is Tanner Grimsley's specialty?

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

Is Tanner Grimsley enrolled in Medicare?

Yes. Tanner Grimsley 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 organizations bill Medicare for Tanner Grimsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Grimsley reassigns Medicare benefits to 2 organizations: Christian Unity Hospital Corporation (Grafton, ND) and Turning Point Behavioral Health PLLC (Madison, SD). Each 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 Tanner Grimsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Grimsley accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Tanner Grimsley 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 Tanner Grimsley was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.