JORDAN P GRIMM
NPI 1942964192
Counselor - Professional in Springfield, IL

Active since October 25, 2021
4481 ASH GROVE DR STE B, SPRINGFIELD, IL 62711(309) 693-8200 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan P Grimm NPPES

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

JORDAN P GRIMM (NPI 1942964192) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178019034) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1942964192
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN P GRIMM
Location Address4481 ASH GROVE DR STE BSpringfield, IL 62711-6359
Mailing Address10703 N Glenfield DrDunlap, IL 61525-9771 · (815) 878-0334
Sole ProprietorYes
Enumeration DateOctober 25, 2021
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
NPI 1942964192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178019034
4481 ASH GROVE DR STE B, Springfield, IL 62711

Other Providers at the Same Location NPPES 19

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

Counselor (Professional)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Social Worker (Clinical)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Counselor (Professional)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Counselor (Mental Health)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Counselor (Professional)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Counselor (Mental Health)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Counselor (Professional)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711
Psychologist (Clinical)
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711

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 Jordan Grimm's NPI number?

The NPI number for Jordan Grimm is 1942964192. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Jordan Grimm located?

Jordan Grimm practices at 4481 Ash Grove Dr Ste B, Springfield, IL 62711. The listed phone number is (309) 693-8200.

What is Jordan Grimm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jordan Grimm was last updated on August 9, 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.