IndividualActive
Jennifer Grissom
NPI 1659055507 · Mental Health Counselor · Shallotte, NC
Jennifer Grissom is a Mental Health Counselor provider in Shallotte, NC (NPI 1659055507).
Provider details
- NPI number
- 1659055507
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0704013796 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
5320 Bridgers Rd Ste 4
Shallotte, NC 28470-4737
Phone: (910) 769-9126
Street-level locationGet directions
Mailing address
6472 Rolling Run Rd
Southport, NC 28461-8302
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Frequently asked questions
- What is Jennifer Grissom's NPI number?
- Jennifer Grissom's National Provider Identifier (NPI) is 1659055507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Grissom's specialty?
- Jennifer Grissom is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jennifer Grissom located?
- Jennifer Grissom's practice location on file with NPPES is 5320 Bridgers Rd Ste 4, Shallotte, NC 28470-4737.
- What is Jennifer Grissom's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Grissom is (910) 769-9126.
- Is Jennifer Grissom's NPI active?
- Yes — Jennifer Grissom's NPI (1659055507) is active in the NPPES registry as of the last update on 2023-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.