NICHOLE GRIMES MA, LPC, LMHC
NPI 1962991513
Counselor in Roswell, GA
About Nichole Grimes Ma, Lpc, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE GRIMES MA, LPC, LMHC (NPI 1962991513) is an individual counselor in Roswell, Georgia, licensed in Georgia (LPC012800) and active in the NPI registry since May 2018. She has opted out of Medicare through September 27, 2027 and maintains a secondary practice location in Mountain Brk.
NPPES Registry Identity
Specialties & Licenses 2
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Practice Location 1
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
Nichole Grimes Ma, Lpc, Lmhc 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 September 27, 2025 through September 27, 2027.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962991513, enumerated as an "individual" on May 08, 2018.
The provider is located at 1007 MANSELL RD STE A205 ROSWELL, GA 30076 and the phone number is (678) 756-2232.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.
