P Praxis·MD
● Active Type 1 · Individual

Anisa D Grantham, LPC, NCAC

Counselor·Rincon, GA· NPI 1619014255 · Enumerated 2007 · 19 years on NPI
Grantham is 1 of 32 counselor providers in Rincon and 1 of 7547 in Georgia.
NPI age
19 years
Enumerated 2007-01-31
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-07-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
613 Towne Park Dr W Ste 103
Rincon, GA 313269098
📞 9128260918fax 9128260959
Mailing address
613 Towne Park Dr W Ste 103, Po Box 1834
Rincon, GA 313269098
📞 9128260918fax 9128260959

Specialties

  • Counselor Primary
    Definition to come...
    GA license #004189 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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