Jesse Gruich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

509 Jackson Ave
Ocean Springs, MS 39564-4619

Phone

(228) 875-6113

Fax

(228) 875-9065

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Family Counseling AgencyGroup PAC ID 9537239389, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gulf Coast Family Counseling Agency

  • Clinical Social Worker
  • Ocean Springs, MS
  • NPI 1629293691
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1023660693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661073",
            "telephone_number": "228-875-6113",
            "fax_number": "228-875-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 JACKSON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644619",
            "telephone_number": "228-875-6113",
            "fax_number": "228-875-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUICH",
        "first_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie J Grant, PA-C
• Emily Gray
• Sasi Gabrielle Greer
• James Robert Grierson Jr., RNFA
• Brett Tyler Grobman, DO
• Rebecca Lynn Guice, PA-C
• Albert Leonard Guillotte Jr.
• Gulf Coast Children's Clinic
• Gulf Coast Children's Clinic, PA
• Gulf Coast Family Counseling Agency

• Clinical Social Worker in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.