Thomas Jai Gross, M.A., NCC, LCPC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012022193 Issued in MO

Practice address

434 Willard Hall
Oklahoma State University
Stillwater, OK 74078

Phone

(414) 915-1449

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1396877957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 N PERKINS RD",
            "address_2": "E203",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752205",
            "telephone_number": "414-915-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 WILLARD HALL",
            "address_2": "OKLAHOMA STATE UNIVERSITY",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74078",
            "telephone_number": "414-915-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "THOMAS",
        "middle_name": "JAI",
        "name_prefix": "Mr.",
        "credential": "M.A., NCC, LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3860-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012022193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J Griffith, PH.D.
• Mary Elizabeth Griffiths, AUD., CCC-A
• Jeremiah Edward Grissett, M.S.
• Dalton Griswold, LPN
• Van Grooms
• Kelsey Dawn Grounds, O.D.
• Group Practice Associates, Inc.
• Kyla Groves, MD
• William Joesph Groves, LADC
• Jayce Guilfoyle

• Professional Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.