Individual provider Active NPI

Jane Rosen-Grandon, PH.D.

  • Marriage & Family Therapist
  • Greensboro, NC
National Provider Identifier
1528517950
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
423 LMFT Issued in NC
Practice address
3106 Edgewater Dr
Greensboro, NC 27403-1054
Phone
(336) 292-2116
Fax
(336) 292-2162
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X S2299 NC
Marriage & Family Therapist 106H00000X 423 LMFT NC Primary

Addresses

Primary practice location

3106 Edgewater Dr
Greensboro, NC 27403-1054

Mailing address

3106 Edgewater Dr
Greensboro, NC 27403-1054
Phone (336) 292-2116

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S2299NCMDProfessional Counselor
423 LMFTNCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosen Grandon Associates Inc Professional Past Accepting new patients
Rosen Grandon Associates, Inc Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1528517950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 EDGEWATER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031054",
            "telephone_number": "336-292-2116",
            "fax_number": "336-292-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 EDGEWATER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031054",
            "telephone_number": "336-292-2116",
            "fax_number": "336-292-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN-GRANDON",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S2299",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "423 LMFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.