Active NPI
James Griego, M.A.
- Addiction (Substance Use Disorder) Counselor
- Kingman, AZ
National Provider Identifier
1396083648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-10388
- Practice address
- 3505 Western Ave
Kingman, AZ 86409-3011 - Phone
- (928) 757-8111
- Fax
- (928) 757-1199
- NPI assigned
- Jan 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10388 | AZ | Primary |
Addresses
Primary practice location
3505 Western Ave
Kingman, AZ 86409-3011
Mailing address
3505 Western Ave
Kingman, AZ 86409-3011
Phone (928) 757-8111
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10388 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1396083648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093011",
"telephone_number": "928-757-8111",
"fax_number": "928-757-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093011",
"telephone_number": "928-757-8111",
"fax_number": "928-757-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEGO",
"first_name": "JAMES",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.