NPIMap

Organization Active NPI

Robert Jason Grant Ed.D Autplay Therapy Clinic

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1124562566
Registry record updated Dec 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001008080 Issued in MO
Legal business name
ROBERT JASON GRANT ED.D AUTPLAY THERAPY CLINIC
Practice address
1613 W Elfindale St
Springfield, MO 65807-1287
Phone
(417) 755-9042
Fax
(855) 425-0096
NPI assigned
Dec 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2016

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

Authorized official

Name
Dr. Robert Jason Grant, ED.D, LPC, RPT-SNPI 1558437194
Title
Owner
Phone
(417) 755-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2001008080 MO Primary

Addresses

Primary practice location

1613 W Elfindale St
Springfield, MO 65807-1287

Mailing address

1613 W Elfindale St
Springfield, MO 65807-1287
Phone (417) 755-9042

National Provider Directory

National Provider Directory

Locations

3322 S Campbell Ave
Ste R
Springfield, MO 65807
Phone (417) 509-9572

1613 W Elfindale St
Springfield, MO 65807
Phone (417) 864-7921

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480809600000",
    "number": "1124562566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-755-9042",
            "fax_number": "855-425-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-755-9042",
            "fax_number": "855-425-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JASON GRANT ED.D AUTPLAY THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-04",
        "last_updated": "2016-12-04",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-755-9042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, LPC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001008080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; 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.