Von Grove, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

22-9145 Issued in WV

Practice address

2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074

Phone

(304) 766-0060

NPI assigned

Dec 13, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Ten Up Ministries, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Albans, WV
  • NPI 1609362391
  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1154032837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MACCORKLE AVE STE 201",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772074",
            "telephone_number": "304-766-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MACCORKLE AVE STE 201",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772074",
            "telephone_number": "304-766-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "VON",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "22-9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karle Edward Griffith
• Loretta Griffith
• Thomas E Griffith
• Brittany Jeanne Grimmett
• Bernard Dean Grose II, PA-C
• George Grover, LPC
• Kelly Guta
• Andrew Hadley, PHARMD
• Charles Ray Hager, PRSS
• Logan Richard Hall

• All providers in Saint Albans, WV
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.