MRS. KASI NICOLE GRANDE (BA) – Mental Health Counselor, NPI 1174874655

MRS. KASI NICOLE GRANDE (BA) is a healthcare provider. based in Corbin, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials BA. The NPI Number for MRS. KASI NICOLE GRANDE (BA) is 1174874655

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KASI NICOLE GRANDE (BA)
NPI
1174874655
Phone
Not provided
Address
PO BOX 568
Enumeration Date
25 September 2012
Last Update Date
25 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6062617555
Graduation Year
2015 (11 years ago)
PAC ID
3476063132
Group Practice PAC ID
6608152384
Professional Enrollment ID
I20250611001449
Address ID
KY407011459CO415XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

862 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for MRS. KASI NICOLE GRANDE (BA)

  • PO BOX 568

    CORBIN, KY 407020568

    Phone:

    Type: Mailing

  • 1203 AMERICAN GREETING CARD RD

    CORBIN, KY 407014811

    Phone: (606) 528-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250611001449IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608152384View full group profile
NameSpecialtyState
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for MRS. KASI NICOLE GRANDE (BA) in the U.S.?
In the U.S., MRS. KASI NICOLE GRANDE (BA) is identified by NPI 1174874655.
Is MRS. KASI NICOLE GRANDE (BA) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KASI NICOLE GRANDE (BA) as active.
What type of care does MRS. KASI NICOLE GRANDE (BA) provide?
MRS. KASI NICOLE GRANDE (BA)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KASI NICOLE GRANDE (BA)?
MRS. KASI NICOLE GRANDE (BA) is associated with Corbin, Kentucky in the same public data insurers reference.
Can I export MRS. KASI NICOLE GRANDE (BA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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