Active NPI
Jeanne C Grothaus, LSW, LPC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1568757326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3359
- Practice address
- 1100 Dennison Ave
Columbus, OH 43201-3262 - Phone
- (614) 884-4400
- Fax
- (614) 884-4484
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3359 | OH | Primary |
| Social Worker | 104100000X | S6892 | OH |
Addresses
Primary practice location
1100 Dennison Ave
Columbus, OH 43201-3262
Mailing address
1100 Dennison Ave
Columbus, OH 43201-3262
Phone (614) 884-4400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3359 | OH | MD | Professional Counselor |
| S6892 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1568757326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 DENNISON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013262",
"telephone_number": "614-884-4400",
"fax_number": "614-884-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 DENNISON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013262",
"telephone_number": "614-884-4400",
"fax_number": "614-884-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTHAUS",
"first_name": "JEANNE",
"middle_name": "C",
"credential": "LSW, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C3359",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S6892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.