Individual provider Active NPI

David James Grenn, LPC, NCC, CADC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1003228388
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82232 Issued in TX
Practice address
605 E Price Rd
Brownsville, TX 78521-4272
Phone
(215) 960-4774
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82232 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10046 PA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X PC009517 PA

Addresses

Primary practice location

605 E Price Rd
Brownsville, TX 78521-4272

Mailing address

605 E Price Rd
Brownsville, TX 78521-4272
Phone (215) 960-4774

Other practice location 1

360 East Ave
Rochester, NY 14604-2638
Phone (585) 325-5100 ext. 3513

Other identifiers 1

IdentifierTypeStateIssuer
1073614533OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10046PAMDAddiction (Substance Use Disorder) Counselor
PC009517PAMDMental Health Counselor
82232TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Huther Doyle Memorial Institute Past Accepting new patients
Huther-Doyle Memorial Institute Inc Addiction (Substance Use Disorder) PastSince Feb 14, 2023 Accepting new patients
Uplift Behavioral Health PC Single Specialty Past Accepting new patients
Shine Medical of Ca PC Single Specialty Past Accepting new patients
Shine Medical Providers PC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: davidgrenn@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1003228388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214272",
            "telephone_number": "215-960-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214272",
            "telephone_number": "215-960-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 East Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146042638",
            "country_code": "US",
            "telephone_number": "585-325-5100 x3513",
            "fax_number": "585-325-5154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENN",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "LPC, NCC, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82232",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "10046",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073614533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.