Jeremiah Edward Grissett, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

121 S Duck St
Stillwater, OK 74074-3292

Phone

(405) 372-7791

NPI assigned

Feb 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1548628423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SQUIRES LANDING BLVD",
            "address_2": "APT. J4",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742335",
            "telephone_number": "256-348-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743292",
            "telephone_number": "405-372-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSETT",
        "first_name": "JEREMIAH",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Lou Gregory, M.A., CCC-SLP
• Ava Meredith Griffin
• Shasta Lashae Griffin
• Kelly J Griffith, PH.D.
• Mary Elizabeth Griffiths, AUD., CCC-A
• Dalton Griswold, LPN
• Van Grooms
• Thomas Jai Gross, M.A., NCC, LCPC, LPC
• Kelsey Dawn Grounds, O.D.
• Group Practice Associates, Inc.

• Marriage & Family Therapist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.