MR. ADDAM LEE GROSS MC LPC NPI 1164419313

NPI Information

NPI: 1164419313
Provider Name: MR. ADDAM LEE GROSS, MC, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
202 E MCDOWELL RD
PHOENIX, AZ
ZIP 85004
Phone: (602) 486-6581
Get Directions

MR. Addam Lee Gross, MC, LPC is a mental health counselor in Phoenix, AZ. MR. Addam Lee Gross, MC, LPC NPI is 1164419313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 E MCDOWELL RD
PHOENIX, AZ
ZIP 85004-533
Phone: (602) 486-6581
Fax: (602) 368-5999

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC10121	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	768509	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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