Active NPI
David James Grenn, LPC, NCC, CADC
- Professional Counselor
- Brownsville, TX
National Provider Identifier
1003228388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82232 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10046 | PA | |
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073614533 | Other | NY | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10046 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC009517 | PA | MD | Mental Health Counselor |
| 82232 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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) | Past | 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
- 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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Case Management Agency
- Rochester, NY
- NPI 1073614533
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1033520440
Addiction (Substance Use Disorder)
-
- Adult Mental Health Clinic/Center
- Bethesda, MD
- NPI 1629740410
Single Specialty
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
- Grande PT Sports Medicine & Wellness P.L.L.C.
- Grandpa & Grandma Primary Home Care
- Ana Elizabeth Gray, LBSW
- Gregory W. Smith, MD PA
- Gregson Management LLC
- Beathia Alexandria Grimaldo-Anes
- Liwayway Bautista Guadalquiver, FNP
- Guadalupe Davila, M.D., P.a.
- Juan G Guajardo, M.D.
- Manuel G Guajardo, M.D., P.A.
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.