Active NPIIndividual provider

Bruce Grimley, LMHC, CCM

Counselor, Mental Health in Charlestown, Massachusetts

NPI Number1801586144
Practice location
529 Main St, Charlestown, MA 02129-1125
Fax
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Last updated
May 10, 2023

Bruce Grimley is a Counselor, Mental Health based in Charlestown, MA. Bruce Grimley practices in Charlestown, MA and has the professional credentials of LMHC, CCM. The NPI Number for Bruce Grimley is 1801586144 and holds a License No. 00132215. The current practice location address for Bruce Grimley is 529 Main St, Charlestown, MA 02129-1125 and can be reached out via phone at 617-478-3806.

Provider Profile Details

NPI Number
1801586144
Provider Name
Bruce Grimley
Credential
LMHC, CCM
Provider Entity Type
Individual
Gender
Male
Address
529 Main St, Charlestown, MA 02129-1125
Phone Number
617-478-3806
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2023
Last Update Date
May 10, 2023
Certification Date
May 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
529 Main St
Charlestown, MA 02129-1125
Zip
02129-1125
Phone Number
617-478-3806
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
529 Main St
Charlestown, MA 02129-1125
City
Charlestown
State
MA
Zip
02129-1125
Phone Number
617-478-3806

License Information

License Number (1)
00132215
Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
4050
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bruce Grimley, LMHC, CCM?

The NPI number of Bruce Grimley, LMHC, CCM is 1801586144. It was assigned on May 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Bruce Grimley, LMHC, CCM?

Bruce Grimley, LMHC, CCM is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed under license number 00132215.

Where does Bruce Grimley, LMHC, CCM practice?

The practice location is 529 Main St, Charlestown, MA 02129-1125. The office can be reached at 617-478-3806 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801586144 directly on the NPPES registry website.

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