Donna Ruth Grady, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

561-226 Issued in WI

Practice address

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446

Phone

(414) 358-7999

Fax

(414) 358-7158

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donna Ruth Losby Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1578837423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999",
            "fax_number": "414-358-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999",
            "fax_number": "414-358-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "DONNA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "561-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "561-226",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "LOSBY",
            "middle_name": "RUTH",
            "credential": "LPC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Ann Gorman, DDS
• Aubrie Kalin Gorski, LPC-IT
• Karen Gotwalt, M.D.
• Bob Matthew Gountis, D.C.
• Charles M Grade, MD
• Justin Michael Graff, PHARM.D.
• Paige E Graham, PT, DPT
• Gail E Grahn, PTA
• Janet Carol Grahn, P.T.A.
• Amber Gonzalez Grant, APNP

• Mental Health Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.