Active NPI
Joan Elizabeth Grussing, LPC-S, LISAC
- Mental Health Counselor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 11798
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428362 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC 10120 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 11798 | AZ | MD | Mental Health Counselor |
| 10120 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teris Health Services LLC | Professional | Current | Accepting new patients |
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Mental Health | Current | Accepting new patients |
| Teri'S Health Services | Current | 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.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
Mental Health
-
- Professional Counselor
- Phoenix, AZ
- NPI 1215422126
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1326731555
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1790374833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.