GRACE SHADE (LPCC) – Counselor, NPI 1407369978

GRACE SHADE (LPCC) is a healthcare provider. based in Findlay, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. C.1700642 (OH). The NPI Number for GRACE SHADE (LPCC) is 1407369978

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
GRACE SHADE (LPCC)
NPI
1407369978
Phone
(419) 890-6875
Address
9033 Dold Dr
Enumeration Date
7 November 2017
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194085533
Graduation Year
2017 (9 years ago)
PAC ID
5193267599
Group Practice PAC ID
4688116288
Professional Enrollment ID
I20240612002708
Address ID
OH434022695BO1234XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for GRACE SHADE (LPCC)

  • 9033 Dold Dr

    Findlay, OH 458401671

    Phone: (419) 890-6875

    Type: Location

  • 1234 RIDGEWOOD DR STE C

    BOWLING GREEN, OH 434022695

    Phone: (419) 408-5533

    Type: Mailing

  • 1624, Tiffin Avenue, Lantern Gate Condo 1, Findlay, Hancock County, Ohio, 45840, United States

    FINDLAY, OH 458406852

    Phone: (419) 422-7800

    Type: Mailing

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: 2024-06-12

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
I20240612002708IMental Health CounselorOHTBD

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 45840)

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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: 4688116288View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH

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Frequently asked questions

Is there an official ID for GRACE SHADE (LPCC) in U.S. healthcare records?
The official identifier for GRACE SHADE (LPCC) is NPI 1407369978.
Is GRACE SHADE (LPCC) shown as active in public data?
Registry records indicate GRACE SHADE (LPCC) maintains an active NPI.
What expertise is attributed to GRACE SHADE (LPCC)?
GRACE SHADE (LPCC)'s specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
Is GRACE SHADE (LPCC) located near Findlay?
GRACE SHADE (LPCC) currently maps to Findlay, Ohio in this extract.
When was this NPI issued?
Enumeration for GRACE SHADE (LPCC) is noted as November 7, 2017 where the registry provides it.

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