Shannon L Groh, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013838 Issued in MI

Practice address

830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279

Phone

(269) 982-3832

NPI assigned

Feb 14, 2011

Last updated

Sep 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Donarski Center for Mental Health CounselingGroup PAC ID 1254727381, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Donarski Center for Mental Health Counseling

  • Mental Health Counselor
  • Saint Joseph, MI
  • NPI 1467113449
  Medicare reassignment Care Compare group NPD
• Family Therapy & Development Centers Inc

  • Mental Health Counselor
  • Saint Joseph, MI
  • NPI 1295916187
  NPD

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1275830093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WILSON RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859524",
            "telephone_number": "330-469-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST STE 201",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852279",
            "telephone_number": "269-982-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROH",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Greig, MD
• Amelia Griffin
• Marilyn Jane Griffiths, T.L.L.P.
• Rhonda Y Griffiths, N.P.
• Melinda Joy Grimm
• Jeffrey Grondin, M.D.
• Bettina E Grundler, MS, OTR/L
• Meghan Guntz, LMSW
• Alexander Gutfraynd, D.O.
• Dominique Jay Gutierrez, MD

• Professional Counselor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.