Active NPI
Jason Bradley Gruhl, MA
- Counseling Psychologist
- Boulder, CO
National Provider Identifier
1023993524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- NLC.0108621
- Practice address
- 268 Leonards Rd
Boulder, CO 80302-9780 - Phone
- (720) 308-5945
- NPI assigned
- Aug 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | NLC.0108621 | CO | Primary |
Addresses
Primary practice location
268 Leonards Rd
Boulder, CO 80302-9780
Mailing address
268 Leonards Rd
Boulder, CO 80302-9780
Phone (720) 308-5945
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0108621 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1023993524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 LEONARDS RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029780",
"telephone_number": "720-308-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 LEONARDS RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029780",
"telephone_number": "720-308-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUHL",
"first_name": "JASON",
"middle_name": "BRADLEY",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "NLC.0108621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.