BRUCE GRIMLEY LMHC CCM NPI 1801586144

NPI Information

  • NPI: 1801586144
  • Provider Name: BRUCE GRIMLEY, LMHC, CCM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 529 MAIN ST
    CHARLESTOWN, MA
    ZIP 02129
  • Phone: (617) 478-3806

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NPI Details

Bruce Grimley, LMHC, CCM is a mental health counselor in Charlestown, MA. Bruce Grimley, LMHC, CCM NPI is 1801586144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

529 MAIN ST
CHARLESTOWN, MA
ZIP 02129-125
Phone: (617) 478-3806

The enumeration date for this NPI number is 5/10/2023 and was last updated on 5/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator00132215No
2101YM0800XCounselorMental Health4050MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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