Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942964192 Individual Practitioner Female Practitioner

Jordan P Grimm

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Jordan Grimm is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 4481 ASH GROVE DR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4481 Ash Grove Dr Ste B

Springfield, IL 627116359

Telephone 3096938200
Associated Practice Facility / Clinic
🏢 Finding Your Way Pllc Facility NPI 1043994882

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% 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

CMS Verified: 2023-08-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178019034

Definition to come...

Practice Associates & Co-Workers

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

21 Associated Practitioners
Debra Disney , LCPC

Counselor - Professional

NPI 1003131541

Licensed Clinical Professional Counselor

NPI 1093188070

Licensed Clinical Social Worker

Ryan Potempa , MS, LMFT

Marriage & Family Therapist

NPI 1114441128

Master of Science, Licensed Marriage and Family Therapist

Terri Shafer , LCPC

Counselor - Professional

NPI 1124681655

Licensed Clinical Professional Counselor

NPI 1134185325

Licensed Clinical Social Worker

Karen Greene , LCPC

Counselor - Professional

NPI 1134419179

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 09, 2023

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

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

Counselor (License #178019034 in IL)

NPI Profile Active October 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2021

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

📍
Updated Business Mailing Address October 25, 2021

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

👤
Provider Name / Credentials Updated October 25, 2021

Recorded as JORDAN GRIMM

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.