Active NPI
Clinton Grubb, RBT
- Case Manager/Care Coordinator
- Columbus, OH
National Provider Identifier
1275290801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5925 Cleveland Ave Ste C
Columbus, OH 43231-2209 - Phone
- (614) 776-4646
- NPI assigned
- Nov 18, 2021
- Last updated
- Feb 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
5925 Cleveland Ave Ste C
Columbus, OH 43231-2209
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlife Recovery, LLC | Current | Accepting new patients |
Locations
5925 Cleveland Ave
Ste C
Columbus, OH 43231
Phone (614) 776-4646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1114472289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1275290801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 CLEVELAND AVE STE C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312209",
"telephone_number": "614-776-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "CLINTON",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-18",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Growth and Empowerment Mental Healthcare Services Group
- Growth and Empowerment Mental Healthcare Services LLC
- Growth and Empowerment Mental Healthcare Services LLC
- Thomas Grubaugh, RPH
- Alex Franklin Grubb, MD
- Lindsay R Grubb
- Jeffrey Grubbs
- Mollie Grubbs
- Maxwell Daniel Gruber
- Pamela Ann Gruenwald, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.