Individual provider Active NPI

Bryan Joseph Gros, PH.D

  • Counseling Psychologist
  • Baton Rouge, LA
National Provider Identifier
1649330796
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
748 Issued in LA
Practice address
422 Colonial Dr
Baton Rouge, LA 70806-6505
Phone
(225) 922-0445
Fax
(888) 965-7288
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 748 LA Primary

Addresses

Primary practice location

422 Colonial Dr
Baton Rouge, LA 70806-6505

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558
Phone (225) 922-0445

Other identifiers 1

IdentifierTypeStateIssuer
1542733MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230505002478 LA Practitioner - Clinical Psychologist 1254796741 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
748LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District CurrentSince Feb 17, 2023 Accepting new patients
Capital Area Human Services District CurrentSince Feb 17, 2023 Accepting new patients
Capital Area Human Services District CurrentSince Feb 17, 2023 Accepting new patients
Capital Area Human Services District Psychologist Current Accepting new patients
Capital Area Human Services District CurrentSince Feb 17, 2023 Accepting new patients
Capital Area Human Services District Past Accepting new patients

Locations

2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906

2455 Wooddale Blvd
Baton Rouge, LA 70805
Phone (225) 922-3169

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807
Phone (225) 359-9315

4615 Government St
Bldg 2
Baton Rouge, LA 70806
Phone (225) 922-0445

901 Catalpa St
Donaldsonville, LA 70346
Phone (225) 257-4448

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

Organizations & group practices 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1649330796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-922-0445",
            "fax_number": "888-965-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066505",
            "telephone_number": "225-922-0445",
            "fax_number": "888-965-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROS",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542733",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.