Active NPI
Gabriel Grochowski, LMHC
- Counselor
- Providence, RI
National Provider Identifier
1104332121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHC01168
- Practice address
- 72 3Rd St
Providence, RI 02906-2729 - Phone
- (570) 499-0674
- NPI assigned
- Dec 28, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHC01168 | RI | Primary |
Addresses
Primary practice location
72 3Rd St
Providence, RI 02906-2729
Mailing address
72 3Rd St
Providence, RI 02906-2729
Phone (570) 499-0674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01168 | RI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Ancora Wellness LLC | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients |
Locations
450 Clinton St
Woonsocket, RI 02895
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
-
- Mental Health Counselor
- Providence, RI
- NPI 1225781974
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1104332121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 3RD ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062729",
"telephone_number": "570-499-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 3RD ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062729",
"telephone_number": "570-499-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROCHOWSKI",
"first_name": "GABRIEL",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-28",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "MHC01168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.