Active NPI
Michael T Grove, LIMHP, LADC
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1689975286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 900
- Practice address
- 11111 M St
Omaha, NE 68137-2378 - Phone
- (402) 504-4099
- Fax
- (502) 504-3929
- NPI assigned
- Nov 12, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-876 | NE | |
| Mental Health Counselor | 101YM0800X | 8800 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 900 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 952 | NE | |
| Mental Health Counselor | 101YM0800X | 1950 | NE |
Addresses
Primary practice location
11111 M St
Omaha, NE 68137-2378
Mailing address
3300 N 60TH St
Catholic Charities
Omaha, NE 68104-3402
Phone (402) 554-0520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| P-876 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 1950 | NE | MD | Chiropractor |
| 952 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1689975286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N 60TH ST",
"address_2": "CATHOLIC CHARITIES",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-554-0520",
"fax_number": "402-551-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 M ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372378",
"telephone_number": "402-504-4099",
"fax_number": "502-504-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "LIMHP, LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-12",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-876",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8800",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "900",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "952",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.