Individual provider Active NPI

Jeffrey C Grummert, PLMHP

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1124845854
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14063 Issued in NE
Practice address
3532 W Capital Ave
Grand Island, NE 68803-1205
Phone
(308) 381-7487
Fax
(308) 381-2712
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14063 NE Primary

Addresses

Primary practice location

3532 W Capital Ave
Grand Island, NE 68803-1205

Mailing address

PO Box 5858
Grand Island, NE 68802-5858
Phone (308) 381-7487

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

LicenseStateTypeSpecialty
14063NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resources of Greater Nebraska PC Mental Health CurrentSince Sep 29, 2024 Accepting new patients
Family Resources of Greater Nebraska, P.C. PastSince Sep 29, 2024 Accepting new patients
Alivation Health, LLC PastSince Sep 29, 2024 Accepting new patients

Locations

3532 W Capital Ave
Grand Island, NE 68803
Phone (308) 381-7487

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.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1124845854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5858",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025858",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 W CAPITAL AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031205",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMMERT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.