Ryan Matthew Grubb I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

07040110343 Issued in VA

Practice address

2300 Commonwealth Dr Ste 100
Charlottesville, VA 22901-1894

Phone

(434) 205-6776

NPI assigned

Aug 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1326713322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMMONWEALTH DR STE 100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011894",
            "telephone_number": "434-205-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMMONWEALTH DR STE 100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011894",
            "telephone_number": "434-205-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "07040110343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryangrubb@thriveworks.com",
            "affiliation": "Y",
            "affiliationName": "Thriveworks Counseling",
            "address_1": "2300 Commonwealth Dr Ste 100",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229011894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Scott Grover, MD
• Aislinn Eve Groves, MSW, LCSW
• Barbara Irene Groves, LCSW
• Danja Strumper Groves, M.D.
• Growthlab Therapy PLLC
• Jonathan Grubbs
• Heather Fariss Grunden, M.S., CCC-SLP
• Kevin Patrick Grunden, M.S., CCC-SLP
• Brian Grundy, M.D.
• Sarah Nicole Grupp, DMD, MMS

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.