ANN M GROB LPC CSAC NPI 1265895387

NPI Information

NPI: 1265895387
Provider Name: ANN M GROB, LPC, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1102 S PARK ST STE 400
MADISON, WI
ZIP 53715
Phone: (608) 282-8270
Get Directions

Ann M Grob, LPC, CSAC is an addiction (substance use disorder) counselor in Madison, WI. Ann M Grob, LPC, CSAC NPI is 1265895387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1102 S PARK ST STE 400
MADISON, WI
ZIP 53715-708
Phone: (608) 282-8270

The NPI 1265895387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 3/28/2024.

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	101Y00000X	Counselor		17341-130	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16049-131	WISCONSIN	No
3	101YM0800X	Counselor	Mental Health			No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16304-132	WISCONSIN	Yes
5	101YP2500X	Counselor	Professional	7091-125	WISCONSIN	No

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	1265895387	MEDICAID	WISCONSIN
2	703646	OTHER	WISCONSIN	MERCYCARE INSURANCE
3	1265895387	OTHER	WISCONSIN	BCBSWI

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: 4/28/2024

NPI Synchronization or Removal

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