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Jordan P Grimm

Counselor - Professional β€’ Springfield, IL

Active NPI 1942964192 Individual Practitioner Female Practitioner
Practice location in NPPES

4481 Ash Grove Dr Ste B
Springfield, IL 627116359

Call 3096938200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4481 Ash Grove Dr Ste B

Springfield, IL 627116359

Telephone 3096938200
Organization at the Same NPPES Address or Phone
Finding Your Way Pllc Facility NPI 1043994882

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Illinois

186 active clinicians are listed under Counselor - Professional with a practice address in Springfield, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.8% of these 186 clinicians have the CMS telehealth indicator.

15.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178019034
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 09, 2023

Registered at 4481 ASH GROVE DR STE B, SPRINGFIELD, IL 627116359 (Tel: 3096938200)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Counselor (license number reported to NPPES: IL 178019034)

βœ…
NPI Profile Active October 25, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 25, 2021

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

πŸ“
Business Mailing Address (Initial Record) October 25, 2021

Registered at 10703 N GLENFIELD DR, DUNLAP, IL 615259771 (Tel: 8158780334)

πŸ‘€
Provider Name / Credentials (Initial Record) October 25, 2021

Recorded as JORDAN GRIMM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 25, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942964192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2021
Last Update: August 09, 2023
Sole Proprietor: Yes

Mailing Address

10703 N Glenfield Dr

Dunlap, IL 615259771

Phone: 8158780334

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.