Active NPI
Grant Nicholas Kolbe, MSED
- Mental Health Counselor
- Plymouth, IN
National Provider Identifier
1679092159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 990 Illinois St
Plymouth, IN 46563-3622 - Phone
- (574) 936-9646
- Fax
- (574) 936-9646
- NPI assigned
- Sep 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
990 Illinois St
Plymouth, IN 46563-3622
Mailing address
2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1679092159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 E JEFFERSON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803880",
"telephone_number": "574-267-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 ILLINOIS ST",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465633622",
"telephone_number": "574-936-9646",
"fax_number": "574-936-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBE",
"first_name": "GRANT",
"middle_name": "NICHOLAS",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.