Jill Mestel Groubert, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3711 Issued in CO

Practice address

8398 Flora St
Arvada, CO 80005-5913

Phone

(970) 306-6986

Fax

(866) 512-0078

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Jill Squyres Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1538106331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8398 FLORA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055913",
            "telephone_number": "970-306-6986",
            "fax_number": "866-512-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8398 FLORA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055913",
            "telephone_number": "970-306-6986",
            "fax_number": "866-512-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUBERT",
        "first_name": "JILL",
        "middle_name": "MESTEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24177",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0048JN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SQUYRES",
            "prefix": "MRS.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marvin R. Greiner, RMT
• Michael Greiner, PHARMD
• Melinda Griffith, LPC
• Kristin Grimes, RDN, LD
• Tracy Grobbel, LCSW
• Grounded Heart Counseling
• Growthworks Counseling, LLC
• Guadalupe Health LLC
• Dan Guberud, RPH
• Rosalind Sarah Guest, ARNP

• Clinical Psychologist in Arvada, CO
• Providers in Arvada, CO by specialty
• Clinical Psychologist in Colorado

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