Individual provider Active NPI

Grant William Tobin, PLPC

  • Counselor
  • Metairie, LA
National Provider Identifier
1447822820
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PLC8665 Issued in LA
Practice address
2321 N Hullen St
Metairie, LA 70001-1982
Phone
(504) 941-7580
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PLC8665 LA
Counselor 101Y00000X PLC8665 LA Primary

Addresses

Primary practice location

2321 N Hullen St
Metairie, LA 70001-1982

Mailing address

2321 N Hullen St
Metairie, LA 70001-1982
Phone (504) 941-7580

Other identifiers 1

IdentifierTypeStateIssuer
PLC8665OtherLAPROVISIONAL LICENSED PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL grant.tobin@acersttammany.com Direct

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

LicenseStateTypeSpecialty
PLC8665LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1447822820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N HULLEN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011982",
            "telephone_number": "504-941-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N HULLEN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011982",
            "telephone_number": "504-941-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "GRANT",
        "middle_name": "WILLIAM",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC8665",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC8665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL LICENSED  PROFESSIONAL COUNSELOR",
            "identifier": "PLC8665",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grant.tobin@acersttammany.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "2321 N Hullen St",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700011982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.