Individual provider Active NPI

Sean Howard Grossarth, PSA, CDCA-P, RA

  • Peer Specialist
  • Lancaster, OH
National Provider Identifier
1003318734
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
00435 Issued in OH
Practice address
201 S Columbus St
Lancaster, OH 43130-4315
Phone
(740) 687-4500
Fax
(740) 687-4595
NPI assigned
Mar 8, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X RA.161611 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.166229 OH
Peer Specialist 175T00000X 00435 OH Primary

Addresses

Primary practice location

201 S Columbus St
Lancaster, OH 43130-4315

Mailing address

201 S Columbus St
Lancaster, OH 43130-4315
Phone (740) 687-4500

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
CDCA.166229OHMDAddiction (Substance Use Disorder) Counselor
00435OHMDPeer Specialist
RA.161611OHMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
The Recovery Center Past Accepting new patients
The Recovery Center Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1003318734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304315",
            "telephone_number": "740-687-4500",
            "fax_number": "740-687-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304315",
            "telephone_number": "740-687-4500",
            "fax_number": "740-687-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSARTH",
        "first_name": "SEAN",
        "middle_name": "HOWARD",
        "credential": "PSA, CDCA-P, RA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "RA.161611",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.166229",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "00435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.