Individual provider Active NPI

Alexander Grigg

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1306219340
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700485 Issued in OH
Practice address
2300 Wall St
Suite F
Cincinnati, OH 45212-2781
Phone
(513) 834-7063
Fax
(513) 429-4939
NPI assigned
Nov 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E.1700485 OH
Professional Counselor 101YP2500X E.1700485 OH Primary

Addresses

Primary practice location

2300 Wall St
Suite F
Cincinnati, OH 45212-2781

Mailing address

446 Morgan St
Cincinnati, OH 45206-2348
Phone (513) 834-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240111000840 OH Practitioner - Mental Health Counselor 4082065362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talbert HouseGroup PAC ID 1951314319, 37 clinicians
Gateways Recovery IncGroup PAC ID 7315914199, 4 clinicians

Practice addresses (Care Compare)

1515 Carll St
Cincinnati, OH 45225-2012
Phone (513) 244-3985

4966 Glenway Ave
Cincinnati, OH 45238-3905
Phone (513) 861-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700485OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Recovery Inc CurrentSince Jan 6, 2024 Accepting new patients
Talbert House CurrentSince Jan 1, 2024 Accepting new patients
Gateways Recovery Past Accepting new patients

Locations

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

4966 Glenway Ave
Ste 205
Cincinnati, OH 45238
Phone (513) 684-7977

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1306219340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 MORGAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062348",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WALL ST",
            "address_2": "SUITE F",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122781",
            "telephone_number": "513-834-7063",
            "fax_number": "513-429-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.1700485",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.