Karen Spencer Gross, LISW-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I.0008738-SUPV Issued in OH

Practice address

1616 W Church St Ste a
Newark, OH 43055-1540

Phone

(740) 405-2488

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1063239911
  NPD (past)
• Woodlands, Serving Central Ohio Inc.

  • Clinical Social Worker
  • Newark, OH
  • NPI 1376607374
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1184935520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 DIETRICH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552767",
            "telephone_number": "740-344-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W CHURCH ST STE A",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551540",
            "telephone_number": "740-405-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KAREN",
        "middle_name": "SPENCER",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0008738-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Randall Grim, LISW, LICDC
• Thomas Matthew Grogan, M.D.
• Crystal Grooms
• Selena Marie Grooms
• Mark L Grosko, D.D.S.
• Esteban Grovas Cordovi
• Dash Carter Grove
• Holly Grover
• Chelsea Lavonne Groves
• Alex David Grubish, DC

• Mental Health Counselor in Newark, OH
• Providers in Newark, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.