Individual provider Active NPI

Griffin Charles Sobol, MA

  • Counselor
  • Adrian, MI
National Provider Identifier
1215641824
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
600 N Broad St
Adrian, MI 49221-2132
Phone
(815) 342-0580
Fax
(517) 759-3939
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

600 N Broad St
Adrian, MI 49221-2132

Mailing address

600 N Broad St
Adrian, MI 49221-2132
Phone (815) 342-0580

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL griffinsobol@gmail.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260601001797 MI Practitioner - Mental Health Counselor 5799255600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1165 Berkshire
Adrian, MI 49221-1398

600 N Broad St
Adrian, MI 49221-2132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Sobol Counseling PLLC Current Accepting new patients

Locations

600 N Broad St
Adrian, MI 49221
Phone (517) 403-1329

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1215641824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212132",
            "telephone_number": "815-342-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212132",
            "telephone_number": "815-342-0580",
            "fax_number": "517-759-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "GRIFFIN",
        "middle_name": "CHARLES",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "griffinsobol@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 N Broad St",
            "city": "Adrian",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492212132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.