Individual provider Active NPI

Gayle Townsend Grotheer, M.ED, LPC, NBCC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1497965396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004691 Issued in GA
Practice address
137 Cardinal Rd
Savannah, GA 31406-6465
Phone
(912) 356-0447
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004691 GA Primary

Addresses

Primary practice location

137 Cardinal Rd
Savannah, GA 31406-6465

Mailing address

137 Cardinal Rd
Savannah, GA 31406-6465
Phone (912) 356-0447

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC004691GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497965396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CARDINAL RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066465",
            "telephone_number": "912-356-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CARDINAL RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066465",
            "telephone_number": "912-356-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHEER",
        "first_name": "GAYLE",
        "middle_name": "TOWNSEND",
        "credential": "M.ED, LPC, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.