Individual provider Active NPI

Courtney Marie Groce, PLPC

  • Counselor
  • Columbia, MO
National Provider Identifier
1720508823
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2017019181 Issued in MO
Practice address
4304 S Bearfield Rd
Columbia, MO 65201-9557
Phone
(573) 874-8686
Fax
(573) 874-8608
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2017019181 MO Primary

Addresses

Primary practice location

4304 S Bearfield Rd
Columbia, MO 65201-9557

Mailing address

4304 S Bearfield Rd
Columbia, MO 65201-9557
Phone (573) 874-8686

Other identifiers 1

IdentifierTypeStateIssuer
2017019181MedicaidMO

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

LicenseStateTypeSpecialty
2017019181MOMDCounselor

Interoperability endpoints

  • Direct secure messaging: courtney.groce.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1720508823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 S BEARFIELD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019557",
            "telephone_number": "573-874-8686",
            "fax_number": "573-874-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 S BEARFIELD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019557",
            "telephone_number": "573-874-8686",
            "fax_number": "573-874-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2017019181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017019181",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.