Jared Timothy Groh, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000777 Issued in MI

Practice address

1202 Weiss St
Saginaw, MI 48602-5471

Phone

(989) 754-1419

NPI assigned

Apr 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1700374055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025471",
            "telephone_number": "989-754-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025471",
            "telephone_number": "989-754-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 S Huron Rd",
            "address_purpose": "LOCATION",
            "city": "Kawkawlin",
            "state": "MI",
            "postal_code": "486319485",
            "country_code": "US",
            "telephone_number": "989-684-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROH",
        "first_name": "JARED",
        "middle_name": "TIMOTHY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215939491",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Elizabeth Grigsby, BSW, CADCM, ADS
• Danielle Griner
• Jessica Groce
• Chelsie Lee Grocholski, OD
• Cassidy Groh
• Abbie Jo Gross, R.N.
• Amber Marie Gross, RAC
• Justin Dale Gross
• Samantha Grosteffon
• Growing Through Change, PLLC

• Speech-Language Pathologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.