Active NPI
Jason Harold Grebasch, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1437283546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009367
- Practice address
- 2334 W Lawrence Ave
204
Chicago, IL 60625-1948 - Phone
- (773) 263-7550
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.009367 | IL | Primary |
Addresses
Primary practice location
2334 W Lawrence Ave
204
Chicago, IL 60625-1948
Mailing address
1032 W Albion Ave
Chicago, IL 60626-4612
Phone (213) 327-4295
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009367 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1932761285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1437283546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 W ALBION AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264612",
"telephone_number": "213-327-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 W LAWRENCE AVE",
"address_2": "204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251948",
"telephone_number": "773-263-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBASCH",
"first_name": "JASON",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.