Jesse Gronback, MSW, LCSW, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5017230 Issued in NC

Practice address

5 Kitchin PL # 220
Asheville, NC 28803-2665

Phone

(828) 505-1762

Fax

(828) 505-1763

NPI assigned

Apr 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gregory Narron MD and Associates PLLCGroup PAC ID 7517067093, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gregory Narron, M.D. & Associates, PLLC

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1871669259
  Medicare reassignment Care Compare group
• Jesse Gronback Counseling Services

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1902392947
  NPD
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1508171216

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1487971412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 REGENT PARK BLVD STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063727",
            "telephone_number": "828-505-1762",
            "fax_number": "828-505-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KITCHIN PL # 220",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032665",
            "telephone_number": "828-505-1762",
            "fax_number": "828-505-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONBACK",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C007267",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410049",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon I Groh, M.D.
• Mark A Groh, M.D.
• Sumandeep Kaur Sarai Groh, M.D
• Michael David Grohall, AMFT
• Juanita Clare Groleau, RDN
• Susane Gronski, DPT, PRPC
• Jennifer Kay Gross, RD
• Matthew Grotsky, LCMHC, LCASA
• Grove Park Health & Rehab Center, LLC
• Growing Inward Nutrition LLC

• Psychiatric/Mental Health Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.