Individual provider Active NPI

Clinton Christopher Gruener, MA

  • Marriage & Family Therapist
  • Newton Center, MA
National Provider Identifier
1104945229
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT #646 Issued in MA
Practice address
72 Langley Rd
Newton Center, MA 02459-1960
Phone
(617) 965-6552
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC #1286 MA
Marriage & Family Therapist 106H00000X LMFT #646 MA Primary

Addresses

Primary practice location

72 Langley Rd
Newton Center, MA 02459-1960

Mailing address

72 Langley Rd
Newton Center, MA 02459-1960
Phone (617) 965-6552

Other identifiers 1

IdentifierTypeStateIssuer
LM 0679OtherMABLUE CROSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218004031 MA Practitioner - Mental Health Counselor 9234624024 Practice locations: Newton Highlands, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Newton Highlands, MA 02461
Phone (617) 965-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMHC #1286MAMDMental Health Counselor
LMFT #646MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104945229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LANGLEY RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591960",
            "telephone_number": "617-965-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LANGLEY RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591960",
            "telephone_number": "617-965-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENER",
        "first_name": "CLINTON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC  #1286",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMFT #646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "LM 0679",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

Verify at the official NPI Registry.