Grambling Therapy Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0642 Issued in NM

Legal business name

GRAMBLING THERAPY INC

Practice address

4686 Corrales Rd
Corrales, NM 87048-8610

Phone

(505) 266-7693

Fax

(505) 890-4223

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gail Grambling HarrisonNPI 1588686448

Title

President

Phone

(505) 266-7693

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail J Grambling Harrison, LPCC

  • Mental Health Counselor
  • Corrales, NM
  • NPI 1588686448
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285770198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488610",
            "telephone_number": "505-266-7693",
            "fax_number": "505-890-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488610",
            "telephone_number": "505-266-7693",
            "fax_number": "505-890-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMBLING THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAMBLING HARRISON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-266-7693"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000B8044",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Heart New Mexico LLC (Golden Heart Hospice)
• Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC
• Kylee J Gordley-Shurter, LPCC
• Jerome Eldon Goss, MD
• Gail J Grambling Harrison, LPCC
• Gray Wolf Counseling, Inc.
• Olivia Gurule-Rietmann, DC
• Nancy Handmaker, PHD
• Randall L Haratyk, PT
• James Harding, MD

• Professional Counselor in Corrales, NM
• Providers in Corrales, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.