Individual provider Active NPI

Robert Griffin, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1245992015
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19923 Issued in AZ
Practice address
21620 N 19TH Ave Ste A5
Phoenix, AZ 85027-2716
Phone
(602) 527-4303
NPI assigned
Oct 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19923 AZ Primary

Addresses

Primary practice location

21620 N 19TH Ave Ste A5
Phoenix, AZ 85027-2716

Mailing address

21620 N 19TH Ave Ste A5
Phoenix, AZ 85027-2716
Phone (602) 527-4303

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vitalityps.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19923AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Psychological Services LLC Mental Health PastSince Dec 1, 2024 Accepting new patients
Vitality Psychological and Therapy Services PLLC Mental Health PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1245992015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21620 N 19TH AVE STE A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272716",
            "telephone_number": "602-527-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21620 N 19TH AVE STE A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272716",
            "telephone_number": "602-527-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "19923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vitalityps.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21620 N 19th Ave Ste A5",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850272716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.