Active NPI
Dolores B Grohmann, LMFT
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1144378555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 1891
- Practice address
- 4322 Southpark Dr
Tampa, FL 33624-3417 - Phone
- (813) 265-1105
- Fax
- (813) 961-4406
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 1891 | FL | Primary |
Addresses
Primary practice location
4322 Southpark Dr
Tampa, FL 33624-3417
Mailing address
4929 Van Dyke Rd.
Lutz, FL 33558
Phone (813) 924-3491
Other names 1
- Mrs. Lolita B Grohmann
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT 1891 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1144378555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 VAN DYKE RD.",
"city": "LUTZ",
"state": "FL",
"postal_code": "33558",
"telephone_number": "813-924-3491",
"fax_number": "813-961-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4322 SOUTHPARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336243417",
"telephone_number": "813-265-1105",
"fax_number": "813-961-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROHMANN",
"first_name": "DOLORES",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 1891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOLITA",
"last_name": "GROHMANN",
"middle_name": "B",
"prefix": "MRS.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.