Beverly D Groth, LPC,SCL,NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401008473 Issued in MI

Practice address

351 Pinecliff CT
Waterford, MI 48327-1794

Phone

(248) 301-9403

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1235829037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PINECLIFF CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271794",
            "telephone_number": "248-884-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PINECLIFF CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271794",
            "telephone_number": "248-301-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "BEVERLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC,SCL,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008473",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley D Grier
• Amy L Grimes, LPC
• Christine Grippi, LMSW
• Paunel Grivej, MD
• Marylynn Gronow
• Xinwei Gu
• Elizabeth Ann Gunn, BS,DP-C
• Guranti Transportation LLC
• Kiersten Gutherman, MSW
• Angellic Shanna Guyton

• Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.