Gloris Griffin, LPCC-SUPV, LICDC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1901297 Issued in OH

Practice address

5500 Market St Ste 203
Boardman, OH 44512-2624

Phone

(330) 330-8332

NPI assigned

Feb 16, 2017

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gloris Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Boardman, OH
  • NPI 1629677166

  Professional

  NPD (past) Authorized official
• Travco Behavioral Health, Inc.

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1124086616
  NPD (past)
• Travco Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Boardman, OH
  • NPI 1437418001
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1306385844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 203",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122624",
            "telephone_number": "330-330-8332",
            "fax_number": "330-330-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 203",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122624",
            "telephone_number": "330-330-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 W Market St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444811045",
            "country_code": "US",
            "telephone_number": "330-330-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "GLORIS",
        "credential": "LPCC-SUPV, LICDC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161866",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Grace, CDCA
• John Michael Graff, MD
• Melinda Annette Green
• Tiffany M Greene, PA-C
• Courtney Griffin
• Margaret Griffin
• Sandra J Grisham, LPCC
• Patrizia Guerrieri, M.D.
• Jill Christine Gulling, APRN, CNP
• Prakash Gyawali, M.D.

• Professional Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.