Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Billy Grimes Jr., LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720391923

Billy Grimes Jr., LADC is a Mental Health Counselor in Muskogee, Oklahoma. Qualified in 2007, 19 years ago. Registered with an NPI since 2010.

Years since qualifying
19
In the registry since
2010
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

313 Gawf Ln
Muskogee, OK 74403-6109
Phone: (918) 289-0550
Fax: (918) 289-0551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1720391923
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedJuly 16, 2010
Last updated in NPPESJuly 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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