Organization Active NPI

Groh Counseling PLLC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1306247085
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55106 Issued in TX
Legal business name
GROH COUNSELING PLLC
Practice address
325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4054
Phone
(210) 439-8887
Fax
(210) 545-6869
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dana Groh, LCSWNPI 1073591749
Title
President
Phone
(210) 439-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 55106 TX Primary

Addresses

Primary practice location

325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4054

Mailing address

325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4054
Phone (210) 439-8887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324001290 TX Part B Supplier - Clinic/Group Practice 6406173806 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

325 E Sonterra Blvd
Ste 230
San Antonio, TX 78258
Phone (210) 439-8887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1306247085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-439-8887",
            "fax_number": "210-545-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-439-8887",
            "fax_number": "210-545-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GROH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-439-8887",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.