Thomas Grubba LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THOMAS GRUBBA LLC

Doing business as

Private Practice

Practice address

24281 Cloverlawn St
Oak Park, MI 48237-1501

Phone

(510) 410-3519

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas George Grubba Jr., LMFTNPI 1942844451

Title

Owner

Phone

(510) 410-3519

Specialties & licenses 1

Addresses

Other names 1

• Private Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas George Grubba Jr.

  • Mental Health Counselor
  • Oak Park, MI
  • NPI 1942844451

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1407553043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 CLOVERLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371501",
            "telephone_number": "510-410-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 CLOVERLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371501",
            "telephone_number": "510-410-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GRUBBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "GRUBBA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-410-3519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers (The Wellness Plan)
• Thee Lighthouse Counseling LLC
• Theodore K Graham MD PC
• Therapy for All
• Bejoice Thomas, RPT
• Deborah Thomas
• Elizabethmary Thomas
• John Thomas, RPT
• Michelle Thompkins, LMSW

• Professional Counselor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.