Active NPI
Brad Michael Gros, LPC-S
- Counselor
- Lafayette, LA
National Provider Identifier
1295292787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5660
- Practice address
- 160 South Beadle Road
Lafayette, LA 70508 - Phone
- (225) 405-8309
- NPI assigned
- Feb 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5660 | LA | |
| Counselor | 101Y00000X | 5660 | LA | Primary |
Addresses
Primary practice location
160 South Beadle Road
Lafayette, LA 70508
Mailing address
160 South Beadle Road
Lafayette, LA 70508
Phone (337) 306-4462
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brad@groscounseling.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
| License | State | Type | Specialty |
|---|---|---|---|
| 5660 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hub City Community Center | Past | Accepting new patients | |
| Leon C. Winters LCSW, LLC | Past | 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.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1083366868
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1194247734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1295292787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 SOUTH BEADLE ROAD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-306-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 SOUTH BEADLE ROAD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "225-405-8309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROS",
"first_name": "BRAD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2021-09-14",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "5660",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "5660",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brad@groscounseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "160 South Beadle Road",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "70508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.