Active NPI
Jeffrey Brian Grant, MACC,LPCC,CSAT
- Professional Counselor
- Dublin, OH
National Provider Identifier
1699093591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0900497
- Practice address
- 6375 Riverside Dr Ste 210
Dublin, OH 43017-5241 - Phone
- (614) 361-4752
- NPI assigned
- May 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0900497 | OH | Primary |
Addresses
Primary practice location
6375 Riverside Dr Ste 210
Dublin, OH 43017-5241
Mailing address
6375 Riverside Dr Ste 210
Dublin, OH 43017-5241
Phone (614) 361-4572
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 |
|---|---|---|---|
| E0900497 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1699093591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6375 RIVERSIDE DR STE 210",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175241",
"telephone_number": "614-361-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 RIVERSIDE DR STE 210",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175241",
"telephone_number": "614-361-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JEFFREY",
"middle_name": "BRIAN",
"credential": "MACC,LPCC,CSAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-17",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0900497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.