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Active NPI 1619014255 Individual Practitioner Female Practitioner

Anisa D Grantham , LPC, NCAC

Counselor - Professional • Rincon, GA

Professional Overview & Biography Verified Profile Summary

Anisa Grantham, LPC, NCAC is a registered healthcare professional specializing in Counselor - Professional in Rincon, GA. Practice services are available at 613 TOWNE PARK DR W STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

613 Towne Park Dr W Ste 103

Rincon, GA 313269098

Telephone 9128260918
Fax 9128260959

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rincon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Rincon, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 004189

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1447654884

Licensed Professional Counselor, CCMHC, MAC, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2015

Registered at 613 TOWNE PARK DR W STE 103, RINCON, GA 313269098 (Tel: 9128260918)

📍
Updated Business Mailing Address July 14, 2015

Registered at 613 TOWNE PARK DR W STE 103, PO BOX 1834, RINCON, GA 313269098 (Tel: 9128260918)

👤
Provider Name / Credentials Updated July 14, 2015

Recorded as ANISA GRANTHAM, LPC, NCAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Counselor

🟢
Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619014255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 14, 2015
Sole Proprietor: No
Update or Correct Profile

Mailing Address

613 Towne Park Dr W Ste 103, Po Box 1834

Rincon, GA 313269098

Phone: 9128260918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.