Active NPI
Joshua Grothaus, LPCC
- Counselor
- Albuquerque, NM
National Provider Identifier
1083861728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0217661
- Practice address
- 2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529 - Phone
- (505) 830-1871
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0217661 | NM | Primary |
| Professional Counselor | 101YP2500X | CCMH0217661 | NM |
Addresses
Primary practice location
2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529
Mailing address
1822 Somervell St NE
Albuquerque, NM 87112-2836
Phone (505) 907-8048
Other practice location 1
10433 Pamplona St NW
Albuquerque, NM 87114-5607
Phone (505) 730-2453
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 |
|---|---|---|---|
| 0217661 | NM | MD | Counselor |
| CCMH0217661 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starfish Counseling, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Albuquerque, NM
- NPI 1386208437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1083861728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 SOMERVELL ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122836",
"telephone_number": "505-907-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 RIO GRANDE BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042529",
"telephone_number": "505-830-1871"
}
],
"practiceLocations": [
{
"address_1": "10433 Pamplona St NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871145607",
"country_code": "US",
"telephone_number": "505-730-2453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROTHAUS",
"first_name": "JOSHUA",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0217661",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0217661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.