Tamara Marie Grzesik, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002452A Issued in IN

Practice address

1441 E 84TH PL
Merrillville, IN 46410-6451

Phone

(219) 794-2000

Fax

(219) 794-2010

NPI assigned

Jan 29, 2009

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southlake Community Mental Health Center IncGroup PAC ID 5991600355, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southlake Community Mental Health Center Inc.

  dba Regional Mental Health Center

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1134367147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LOUISIANA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106385",
            "telephone_number": "219-757-1928",
            "fax_number": "219-757-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106451",
            "telephone_number": "219-794-2000",
            "fax_number": "219-794-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZESIK",
        "first_name": "TAMARA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Grkinich, OD
• David G. Gross, D.O.
• Pete Grubnich, DDS
• Erin Grupp
• Anna Grydzuk
• Jessica Grzymski
• Liliana Guajardo
• Isabelle Guardiola, RBT
• Mia Guerrero
• Raul Guevara, M.D.

• Mental Health Counselor in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.