IndividualActive
Willie Grissom
NPI 1083034391 · Mental Health Counselor · Edmond, OK
Willie Grissom is a Mental Health Counselor provider in Edmond, OK (NPI 1083034391).
Provider details
- NPI number
- 1083034391
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Crestview
Edmond, OK 73012-6638
Phone: (405) 706-8936
Street-level locationGet directions
Mailing address
505 Crestview
Edmond, OK 73012-6638
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2014-04-25
Frequently asked questions
- What is Willie Grissom's NPI number?
- Willie Grissom's National Provider Identifier (NPI) is 1083034391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Grissom's specialty?
- Willie Grissom is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Willie Grissom located?
- Willie Grissom's practice location on file with NPPES is 505 Crestview, Edmond, OK 73012-6638.
- What is Willie Grissom's phone number?
- The practice phone number listed in the NPPES registry for Willie Grissom is (405) 706-8936.
- Is Willie Grissom's NPI active?
- Yes — Willie Grissom's NPI (1083034391) is active in the NPPES registry as of the last update on 2014-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.