Kelli Kirshbaum-Grock

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI0446 Issued in NV

Practice address

527 Humboldt St
Reno, NV 89509-1603

Phone

(775) 348-4900

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NV

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

Locations

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.

• Steppingstone Behavioral Solutions LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1154951713
  NPD
• Rengade Counseling Associates LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1447798574
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1366841801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13092",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895073092",
            "telephone_number": "775-348-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 HUMBOLDT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091603",
            "telephone_number": "775-348-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHBAUM-GROCK",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01517-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Kirkeby
• Michelle Anne Kirkland
• Kirkman Group, Inc.
• Mackenzie Sierra Kirkman, PHD
• Brian W. Kirkpatrick, MD
• Jena Kiser, PH.D.
• Michele J. Kiser, MD
• Shirley Kishel
• Susan Kitchell, APRN
• Kara Lynn Kite

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.