Safrianna Alyssa Marie Degroat, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC10745 Issued in MD

Practice address

122 E Patrick St # 108
Frederick, MD 21701-5630

Phone

(240) 490-4306

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
  • NPI 1669337226
  NPD
• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1093364499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E PATRICK ST # 108",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015630",
            "telephone_number": "240-490-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E PATRICK ST # 108",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015630",
            "telephone_number": "240-490-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Londontown Blvd Ste 130A",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846439",
            "country_code": "US",
            "telephone_number": "410-552-0773",
            "fax_number": "443-200-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "SAFRIANNA",
        "middle_name": "ALYSSA MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Thomas Defeo
• Ryan Defibaugh, LCPC, NCC
• Defining You Therapy and Consulting
• Emma Lee Patricia Defreitas, RN
• Roy Degrange Jr.
• Richard Edward Deise Jr., LGPC
• Justine Olivia Del Nunzio, LMSW
• Abigail Delauter
• Daniel Alan Delauter, CRNP
• Heather Pridemore Delauter

• Professional Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.