MS. SARA ELIZABETH GRIM (NPI# 1528267622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528267622 |
| Entity Type | Individual |
| Full Name | MS. SARA ELIZABETH GRIM |
| Credential | MRC CRC LICDC PCC |
| Practice Address |
320 W Gypsy Lane Rd Bowling Green OH 43402-4572 |
| Mailing Address |
Po Box 29 Bowling Green OH 43402-0029 |
| Practice Telephone | 4193525387 |
| Practice Fax Number | 4193525439 |
| Mailing Telephone | 4193525387 |
| Mailing Fax Number | 4193525439 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 00051709 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
021255 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E0007946 | OH | Behavioral Health & Social Service Providers |
| Street Address |
320 W GYPSY LANE RD |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891022745 | Angela Janine Korte | Counselor | 320 W Gypsy Lane Rd, Bowling Green, OH 43402-4572 | 2009-11-13 |
| 1861631566 | Jeffery Scott Howell | Counselor | 320 W Gypsy Lane Rd, Bowling Green, OH 43402-4572 | 2009-02-19 |
| 1700064870 | Behavioral Connections of Wood County | Social Worker | 320 W Gypsy Lane Rd, Bowling Green, OH 43402-4572 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957890 | Ashleigh Rashell Emberton | Counselor | 1300 Andrea St Ste 204, Bowling Green, KY 42104-3382 | 2020-06-19 |
| 1467099135 | Aspire Mentoring Foundation LLC | Counselor | 1501 Normalview Dr, Bowling Green, KY 42101-2834 | 2019-12-02 |
| 1336706902 | Alice J Beckner | Counselor | 624 Oaklawn Way, Bowling Green, KY 42104-3867 | 2019-05-20 |
| 1083279715 | Telehealth Counseling of Ky, LLC | Counselor | 429 Adalynn Cir, Bowling Green, KY 42104-0001 | 2019-05-08 |
| 1174003032 | Leah Marie Gomez | Counselor | 221 S Church St Ste 200, Bowling Green, OH 43402-2816 | 2018-08-20 |
| 1306397476 | Nnennaya Njoku | Counselor | 299 Westwood Ave, Bowling Green, KY 42103-9066 | 2016-10-24 |
| 1760864060 | Catherine Crawford | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2015-06-23 |
| 1629491576 | Reba Mcginnis | Counselor | 918 State St, 2nd Floor, Bowling Green, KY 42101-2233 | 2014-01-29 |
| 1922442367 | Mary Howard Higgins | Counselor | 424 Hammett Hill Rd, Bowling Green, KY 42101-8244 | 2013-04-27 |
| 1740585082 | Sfreeman Inc. | Counselor | 724 E. 11th Street, Bowling Green, KY 42101-2508 | 2011-01-18 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on MS. SARA ELIZABETH GRIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.