Theresa Vila Grumbles, M.A.

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

4182 N Bank St
Kingman, AZ 86409-2715

Phone

(928) 692-6456

Fax

(928) 692-1507

NPI assigned

May 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1235343583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 N BANK ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092715",
            "telephone_number": "928-692-6456",
            "fax_number": "928-692-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N BANK ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092715",
            "telephone_number": "928-692-6456",
            "fax_number": "928-692-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBLES",
        "first_name": "THERESA",
        "middle_name": "VILA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567729",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandre Grebenchtchikov
• Bernice Isabel Greene, LCSW
• James Griego, M.A.
• Tanja Gromala
• Christopher Groves
• Maria Fernanda Guardia, PA
• Laura Joy Gustafson, D.C.
• Ryan Dennis Gustafson, D.C.
• Bachar Hachem, DO
• Hackberry School District#3

• School Counselor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• School Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.