Active NPI
Diana Grubb, M.ED.
- Counselor
- Southlake, TX
National Provider Identifier
1184136202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 70811
- Practice address
- 185 S White Chapel Blvd
Southlake, TX 76092-7308 - Phone
- (817) 552-2129
- NPI assigned
- Oct 30, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 70811 | TX | Primary |
Addresses
Primary practice location
185 S White Chapel Blvd
Southlake, TX 76092-7308
Mailing address
6409 Royal CT
North Richland Hills, TX 76180-8080
Phone (972) 489-7726
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70811 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1184136202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6409 ROYAL CT",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761808080",
"telephone_number": "972-489-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S WHITE CHAPEL BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927308",
"telephone_number": "817-552-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "DIANA",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "70811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.