Individual provider Active NPI

Robert Louis Closs, PH.D., M.A.,, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1205053154
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1078 Issued in WV
Practice address
6800 W Central Ave
Ste B
Toledo, OH 43617-1135
Phone
(419) 574-8316
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8449 OH
Clinical Psychologist 103TC0700X 6331 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 1078 WV Primary
Clinical Psychologist 103TC0700X 1078 WV

Addresses

Primary practice location

6800 W Central Ave
Ste B
Toledo, OH 43617-1135

Mailing address

6800 W Central Ave
Ste B
Toledo, OH 43617-1135
Phone (304) 526-2243

Other names 1

  • Dr. Robert Louis Gross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128002217 OH Practitioner - Psychologist Billing Independently 2163520057 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6800 W Central Ave
Suite D2
Toledo, OH 43617-1157
Phone (419) 574-8316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8449OHMDAddiction (Substance Use Disorder) Counselor
1078WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling and Recovery, LLC CurrentSince Mar 28, 2021 Accepting new patients
Lutheran Social Services of Northwestern Ohio Addiction (Substance Use Disorder) Past Accepting new patients

Locations

6800 W Central Ave
Ste D2
Toledo, OH 43617
Phone (419) 574-8316

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1205053154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 W CENTRAL AVE",
            "address_2": "STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "304-526-2243",
            "fax_number": "304-526-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W CENTRAL AVE",
            "address_2": "STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "419-574-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSS",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.A.,, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "8449",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6331",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "1078",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GROSS",
            "middle_name": "LOUIS",
            "prefix": "DR.",
            "credential": "PH.D., M.A.,, LICDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.