Individual provider Active NPI

Joan Elizabeth Grussing, LPC-S, LISAC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1588937643
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 11798 Issued in AZ
Practice address
11851 N 51St Ave Ste B110
Glendale, AZ 85304-2823
Phone
(480) 882-4545
Fax
(602) 409-0499
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 11798 AZ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC 10120 AZ

Addresses

Primary practice location

11851 N 51St Ave Ste B110
Glendale, AZ 85304-2823

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
428362MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240131004414 AZ Practitioner - Mental Health Counselor 8426401928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC 10120AZMDAddiction (Substance Use Disorder) Counselor
LPC 11798AZMDMental Health Counselor
10120AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teris Health Services LLC Professional CurrentSince Mar 27, 2024 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jan 1, 2024 Accepting new patients
Neighborhood Outreach Access to Health Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Teri'S Health Services CurrentSince Mar 27, 2024 Accepting new patients

Locations

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

20440 N 27th Ave
Phoenix, AZ 85027

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

16251 N Cave Creek Rd
Phoenix, AZ 85032

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 358-7073

9015 N 3rd St
Phoenix, AZ 85020

8705 E McDowell Rd
Scottsdale, AZ 85257

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1588937643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE B110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042823",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSSING",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC-S, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC 11798",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 10120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428362",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.