MARY GROSENBACH (NPI# 1659825289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659825289 |
Entity Type | Individual |
Full Name | MARY GROSENBACH |
Practice Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
Practice Telephone | 5419564943 |
Mailing Telephone | 5419564943 |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
715 SW RAMSEY AVE |
City | GRANTS PASS |
State | OR |
Zip Code | 97527-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619065851 | Jessica Weatherby | Marriage & Family Therapist | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2006-10-11 |
1447769492 | Theresa Anne Ogden | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2017-09-21 |
1821523390 | Mitzi Hacker | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2017-04-21 |
1558895516 | Summerlynne Walker | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2017-04-17 |
1215474846 | Mara Owens | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2017-01-20 |
1841736972 | Amanda Volgarino | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2017-01-12 |
1598208993 | Amanda Williams | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-12-02 |
1154864189 | Stephonie Sweeney | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-11-22 |
1720539877 | Alexandrea M Kolberg | Peer Specialist | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-10-24 |
1912457961 | Dawn Westling | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527 | 2016-10-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
Find all providers in zip 97527 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073963872 | Jason Robert Campbell | Counselor | 1750 Nebraska Ave # B, Grants Pass, OR 97527-5700 | 2016-06-13 |
1225332406 | Daniel Ellis Bedford | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2011-01-03 |
1619203882 | Tanya Dydzyk | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2009-10-23 |
1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
1548883051 | Jessica August | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2020-05-19 |
1407477110 | Ian Cole Hernandez | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-05-04 |
1619517992 | Erin Launiu | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2020-01-14 |
1669010229 | Maricela Olivares | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-13 |
1245891282 | Jordan Cooley | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-06-20 |
1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
Find all providers in GRANTS PASS |
City | GRANTS PASS |
Zip Code | 97527 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.