Active NPI
Lissa Ann Grossman, LCSW
- Mental Health Counselor
- Norwalk, CT
National Provider Identifier
1548858848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 075300-01
- Practice address
- 77 Sunrise Hill Rd
Norwalk, CT 06851-2113 - Phone
- (917) 658-9589
- NPI assigned
- Jan 4, 2021
- Last updated
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17214 | NY | |
| Mental Health Counselor | 101YM0800X | 075300-01 | NY | Primary |
Addresses
Primary practice location
77 Sunrise Hill Rd
Norwalk, CT 06851-2113
Mailing address
77 Sunrise Hill Rd
Norwalk, CT 06851-2113
Phone (917) 658-9589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22553412 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 S Canaan Rd
Canaan, CT 06018-2517
Phone (718) 298-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 71.85
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17214 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 075300-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Multi-Specialty | Current | Accepting new patients |
Locations
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1548858848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SUNRISE HILL RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512113",
"telephone_number": "917-658-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 SUNRISE HILL RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512113",
"telephone_number": "917-658-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "17214",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "075300-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22553412",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.