Individual provider Active NPI

Thomas Wayne Grabill, LLMFT

  • Marriage & Family Therapist
  • Holland, MI
National Provider Identifier
1346873833
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006912 Issued in MI
Practice address
388 Garden Ave Ste 110
Holland, MI 49424-8999
Phone
(616) 222-0631
NPI assigned
Feb 13, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006912 MI Primary

Addresses

Primary practice location

388 Garden Ave Ste 110
Holland, MI 49424-8999

Mailing address

2585 Pebble CT
Zeeland, MI 49464-8757
Phone (616) 610-7454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tom@alliancecounselinggroup.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240226000487 MI Practitioner - Marriage and Family Therapist 8325483712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

388 Garden Ave
Suite 110
Holland, MI 49424-8999
Phone (616) 222-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101006912MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Group Counseling & Consulting Professionals LLC Marriage & Family Therapist CurrentSince Jan 13, 2024 Accepting new patients

Locations

756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631

388 Garden Ave
Ste 110
Holland, MI 49424
Phone (616) 222-0631

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1346873833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 PEBBLE CT",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648757",
            "telephone_number": "616-610-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE STE 110",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248999",
            "telephone_number": "616-222-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABILL",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LLMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tom@alliancecounselinggroup.com",
            "affiliation": "N",
            "address_1": "388 Garden Ave Ste 110",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494248999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.