Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699869594 Individual Practitioner Female Practitioner

Sandra J Grisham , LPCC

Counselor - Professional • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Sandra Grisham, LPCC is a registered healthcare professional specializing in Counselor - Professional in Boardman, OH. Practice services are available at 105 MILL CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Mill Creek Dr

Boardman, OH 445121402

Telephone 3305315391
Fax 3307585121

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Boardman, OH (6923 Statewide)

Telehealth Adoption Rate
10.3% 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: 2023-12-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E2641

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License OH SZ1118

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

31 Associated Practitioners
Dr. Vina Patel-Mehta , MD

Psychiatry & Neurology - Psychiatry

NPI 1013972470

Doctor of Medicine (M.D.)

Tammy Johnston , LCSW

Social Worker - Clinical

NPI 1023125267

Licensed Clinical Social Worker

Dr. Thomas Skorupski , DO

Psychiatry & Neurology - Psychiatry

NPI 1033163167

Doctor of Osteopathic Medicine (D.O.)

NPI 1053302877

Doctor of Osteopathic Medicine (D.O.)

Dr. Phillip Maiden , MD

Psychiatry & Neurology - Psychiatry

NPI 1063418168

Doctor of Medicine (M.D.)

Mary Totin , LPC

Counselor - Professional

NPI 1083806806

Licensed Professional Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 08, 2023

Registered at 105 MILL CREEK DR, BOARDMAN, OH 445121402 (Tel: 3305315391)

📍
Updated Business Mailing Address December 08, 2023

Registered at 105 MILL CREEK DR, BOARDMAN, OH 445121402 (Tel: 3305313591)

NPI Profile Active April 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2008

Registered at 3837 STARR CENTRE DRIVE, CANFIELD, OH 44406 (Tel: 3307021980)

📍
Updated Business Mailing Address April 08, 2008

Registered at 5500 MARKET ST, YOUNGSTOWN, OH 445122601 (Tel: 3309651221)

👤
Provider Name / Credentials Updated April 08, 2008

Recorded as SANDRA GRISHAM, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2008

Counselor (License #E2641 in OH)

🟢
Initial NPI Registration & Enumeration October 03, 2006

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: 1699869594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: December 08, 2023
Sole Proprietor: Yes

Mailing Address

105 Mill Creek Dr

Boardman, OH 445121402

Phone: 3305313591

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.