MICHELLE GRISSOM (MS, LPC) – Counselor, NPI 1023254554

MICHELLE GRISSOM (MS, LPC) is a healthcare provider. based in Casper, Wyoming. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC. They hold a License No. LPC-349 (WY). The NPI Number for MICHELLE GRISSOM (MS, LPC) is 1023254554

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE GRISSOM (MS, LPC)
NPI
1023254554
Phone
(307) 237-9583
Address
1430 WILKINS CIRCLE
Enumeration Date
6 January 2009
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072379583
Graduation Year
1992 (34 years ago)
PAC ID
4486098324
Group Practice PAC ID
7416270939
Professional Enrollment ID
I20240219001884
Address ID
WY826011336CA1430XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

271 MENTAL HEALTH COUNSELOR in WY

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Provider Addresses for MICHELLE GRISSOM (MS, LPC)

  • 1430, Wilkins Circle, Casper, Natrona County, Wyoming, 82601, United States

    CASPER, WY 826011336

    Phone: (307) 237-9583

    Fax: (307) 265-7277

    Mailing address matches the actual address.

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: 2024-02-19

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
I20240219001884IMental Health CounselorWYTBD

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 82601)

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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: 7416270939View full group profile
NameSpecialtyState
Clinical Social WorkerWY
P S Y C H I A T R YWY
Marriage And Family TherapistWY
Clinical Social WorkerWY
Clinical Social WorkerWY
Nurse PractitionerWY
Clinical Social WorkerWY
Clinical Social WorkerWY
Nurse PractitionerWY
-KS

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Frequently asked questions

Is there an official ID for MICHELLE GRISSOM (MS, LPC) in U.S. healthcare records?
The official identifier for MICHELLE GRISSOM (MS, LPC) is NPI 1023254554.
Active or inactive — what applies to MICHELLE GRISSOM (MS, LPC)?
You should see MICHELLE GRISSOM (MS, LPC) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHELLE GRISSOM (MS, LPC)?
MICHELLE GRISSOM (MS, LPC)'s specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE GRISSOM (MS, LPC)?
Directory geography for MICHELLE GRISSOM (MS, LPC) centers on Casper, Wyoming.
When was this NPI issued?
Enumeration for MICHELLE GRISSOM (MS, LPC) is noted as January 6, 2009 where the registry provides it.

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