Groll Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GROLL THERAPY LLC

Practice address

1580 N Northwest Hwy Ste 305C
Park Ridge, IL 60068-1469

Phone

(708) 925-3540

Fax

(708) 925-3540

NPI assigned

May 19, 2019

Organization subpart

No

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

Authorized official

Name

Anita GrollNPI 1043631963

Title

President

Phone

(708) 925-3540

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Groll

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1043631963
  NPD (past) Authorized official

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1275199846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 N OKETO AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064612",
            "telephone_number": "708-925-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 305C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681469",
            "telephone_number": "708-925-3540",
            "fax_number": "708-925-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROLL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "GROLL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-925-3540"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa M Griffith, P.A.
• Doralee Grindler Katonah, PSY.D., M.DIV.
• Ruxandra Corina Griza, MD
• Thomas Grobelny, M.D.
• Laurel K Grogger, SLP
• Anita Groll
• Abraham Groner, MD
• Ariel Groner, LCSW
• Maureen E Grosdidier, M.D.
• Ilana Gross, PSYD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.