Individual provider Active NPI

Julia Lee Grohse, PA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1629273958
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0438 Issued in NC
Practice address
401 Hillsborough St
Raleigh, NC 27603-1727
Phone
(919) 821-0790
Fax
(919) 861-8961
NPI assigned
Jun 18, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0438 NC Primary

Addresses

Primary practice location

401 Hillsborough St
Raleigh, NC 27603-1727

Mailing address

401 Hillsborough St
Raleigh, NC 27603-1727
Phone (919) 821-0790

Other identifiers 1

IdentifierTypeStateIssuer
6107216MedicaidNC

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0438NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Support Inc. Past Accepting new patients
Triangle Family Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629273958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031727",
            "telephone_number": "919-821-0790",
            "fax_number": "919-861-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031727",
            "telephone_number": "919-821-0790",
            "fax_number": "919-861-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHSE",
        "first_name": "JULIA",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "0438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107216",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.