Individual provider Active NPI

Trevor Martin Grosh, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Newton Falls, OH
National Provider Identifier
1346933132
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
183741 Issued in OH
Practice address
100 Superior St
Newton Falls, OH 44444-1745
Phone
(330) 578-4300
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 183741 OH Primary

Addresses

Primary practice location

100 Superior St
Newton Falls, OH 44444-1745

Mailing address

100 Superior St
Newton Falls, OH 44444-1745

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

State licenses

LicenseStateTypeSpecialty
183741OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jun 4, 2023 Accepting new patients
On Demand Counseling LLC PastSince Jun 4, 2023 Accepting new patients

Locations

100 Superior St
Newton Falls, OH 44444
Phone (330) 270-8610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1346933132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUPERIOR ST",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUPERIOR ST",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441745",
            "telephone_number": "330-578-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSH",
        "first_name": "TREVOR",
        "middle_name": "MARTIN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "183741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.