Individual provider Active NPI

Austin Grob

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1023880143
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93207 Issued in TX
Practice address
6320 Lyndon B Johnson Fwy Ste 120
Dallas, TX 75240-6410
Phone
(214) 433-2721
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 93207 TX Primary

Addresses

Primary practice location

6320 Lyndon B Johnson Fwy Ste 120
Dallas, TX 75240-6410

Mailing address

6320 Lyndon B Johnson Fwy Ste 120
Dallas, TX 75240-6410
Phone (214) 433-2721

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
93207TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Escapingthe Com PLLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

6320 Lyndon B Johnson Fwy
Ste 120
Dallas, TX 75240
Phone (214) 433-2721

Organizations & group practices 1

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1023880143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 LYNDON B JOHNSON FWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406410",
            "telephone_number": "214-433-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 LYNDON B JOHNSON FWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406410",
            "telephone_number": "214-433-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROB",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.