Martha L B Groble, PHD LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2809 Issued in FL

Practice address

1510 Barrs Street
Jacksonville, FL 32204

Phone

(904) 384-3354

Fax

(904) 384-4211

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Martha L Bogardus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Robert E Groble MD PA

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1255483616
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215089669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BARRS STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-384-3354",
            "fax_number": "904-384-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BARRS STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-384-3354",
            "fax_number": "904-384-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBLE",
        "first_name": "MARTHA",
        "middle_name": "L B",
        "name_prefix": "Dr.",
        "credential": "PHD LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "BOGARDUS",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "BS ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Griswold, FNP
• Sybil Atchley Griswold, LCSW
• Grit and Grace Counseling Services, LLC
• Alyssa M. Groat, SFIDC
• Rodney Todd Grobes, DPM
• Daniel Bernard Groblewski, MD
• David L. Grochmal, D.D.S., MPH
• Richard A. Grochmal, M.D.
• Patrice Cathryn Grodell, PA
• Valentyna Groelle, CRNA

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.