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

Jordan P Grimm

Individual provider Professional Counselor · NPI 1942964192

Jordan P Grimm is a Professional Counselor in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359
Phone: (309) 693-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178019034 (IL)

Record details

NPI number1942964192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2021
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address10703 N Glenfield Dr, Dunlap, IL 61525-9771

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