Mark Allen Gritton, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4077 Issued in ID

Practice address

1363 Fillmore St
Twin Falls, ID 83301-3392

Phone

(208) 736-7090

Fax

(208) 736-7089

NPI assigned

Nov 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Crosspointe Mental Health, LLC

  • Primary Care Clinic/Center
  • Twin Falls, ID
  • NPI 1386914505

  Mental Health

  Medicare reassignment NPD
• Crosspointe Mental Health, LLC

  • Community/Behavioral Health Agency
  • Twin Falls, ID
  • NPI 1386054096
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1205080660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITTON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4077",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Porter Griffith, M.D.
• Amber Keandrea Griggs, LMSW
• Katherine Grill Nate, OD
• Robert B Grill, OD
• Jonathan James Grimm
• Michael Robert Gritton, LPC
• Jacob Groesbeck, PT, DPT
• Brenda Fay Grogan, LICENSED MIDWIFE
• Jodi Gruendler, CADC
• Guardian Home Care, Inc.

• Professional Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.