Active NPI
Thomas Grebouski, PHD, BCBA-D
- Mental Health Counselor
- Rye, NH
National Provider Identifier
1336508191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 344
- Practice address
- 1247 Washington Rd Ste 25
Rye, NH 03870-2346 - Phone
- (603) 674-4267
- NPI assigned
- Feb 22, 2016
- Last updated
- Jul 13, 2018
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-12797 | NH | |
| Mental Health Counselor | 101YM0800X | 344 | NH | Primary |
Addresses
Primary practice location
1247 Washington Rd Ste 25
Rye, NH 03870-2346
Mailing address
PO Box 342
Berwick, ME 03901-0342
Phone (603) 674-4267
Other practice location 1
14 Bow St
Exeter, NH 03833-2828
Phone (603) 674-4267
Other practice location 2
14 Bow St
Exeter, NH 03833-2828
Phone (603) 674-4267
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | NH | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Exeter, NH
- NPI 1467831602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1336508191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 342",
"city": "BERWICK",
"state": "ME",
"postal_code": "039010342",
"telephone_number": "603-674-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 WASHINGTON RD STE 25",
"city": "RYE",
"state": "NH",
"postal_code": "038702346",
"telephone_number": "603-674-4267"
}
],
"practiceLocations": [
{
"address_1": "14 Bow St",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "NH",
"postal_code": "038332828",
"country_code": "US",
"telephone_number": "603-674-4267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Bow St",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "NH",
"postal_code": "038332828",
"country_code": "US",
"telephone_number": "603-674-4267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREBOUSKI",
"first_name": "THOMAS",
"credential": "PHD, BCBA-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "1-13-12797",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.