Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Jackie M. Grissom, LCMHC

Professional Counselor in Kannapolis, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215917117

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Registry record

Entity type Individual (Type 1)

Name Ms. Jackie M. Grissom

Credential LCMHC

Sex Female

Practice address Kannapolis, NC, 28081

Phone (704) 905-5201

Fax (704) 612-7043

Enumeration date Jan 18, 2006

Last updated in NPPES Feb 26, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 2798 (NC) Primary

Other identifiers

Identifier	Type	State	Issuer
6102673	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jackie Grissom practice?

The practice location on file with NPPES is in Kannapolis, NC. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jackie Grissom?

The National Provider Identifier (NPI) for Jackie Grissom is 1215917117, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-26.