LILLIESHA GRANDBERRY – Counselor, NPI 1518368414

LILLIESHA GRANDBERRY is a healthcare provider. based in Coppell, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 68093 (TX). The NPI Number for LILLIESHA GRANDBERRY is 1518368414

Main info

Female
Sole Proprietor
15 Years Of Experience
Name
LILLIESHA GRANDBERRY
NPI
1518368414
Phone
(469) 396-6719
Address
PO BOX 1129
Enumeration Date
10 September 2014
Last Update Date
10 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
2365969326
Professional Enrollment ID
I20250505000754
Address ID
TX762012324DE2519XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for LILLIESHA GRANDBERRY

  • PO BOX 1129

    #928

    COPPELL, TX 750191129

    Phone: (469) 396-6719

    Type: Mailing

  • 2901 CORPORATE CIR

    FLOWER MOUND, TX 750285625

    Phone: (469) 396-6719

    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: 2025-05-05

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
I20250505000754IMental Health CounselorTXTBD

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 75019)

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Reviews

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Frequently asked questions

What identifier follows LILLIESHA GRANDBERRY across health systems?
The NPI 1518368414 uniquely identifies LILLIESHA GRANDBERRY in U.S. healthcare data.
Is LILLIESHA GRANDBERRY currently accepting referrals based on NPI status?
Registry metadata lists LILLIESHA GRANDBERRY as active.
What type of care does LILLIESHA GRANDBERRY provide?
LILLIESHA GRANDBERRY's profile centers on Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit LILLIESHA GRANDBERRY in Coppell, Texas?
For routing, start with Coppell, Texas for LILLIESHA GRANDBERRY, then verify phone and hours locally.
Can I export LILLIESHA GRANDBERRY's record?
You can download the official NPPES record; we summarize key fields for readability.

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