Active NPI
Theresa Grass
- Counseling Psychologist
- Pittsburg, KS
National Provider Identifier
1770974644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2657
- Practice address
- 3011 N Michigan St
Pittsburg, KS 66762-2546 - Phone
- (620) 231-9873
- NPI assigned
- Feb 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2657 | KS | Primary |
Addresses
Primary practice location
3011 N Michigan St
Pittsburg, KS 66762-2546
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873
Other practice location 1
8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604
Phone (913) 677-3553
Other practice location 2
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 223-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100240930A | Medicaid | KS |
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 |
|---|---|---|---|
| 2657 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Associates PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Lenexa, KS
- NPI 1477588085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1770974644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1832",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667621832",
"telephone_number": "620-231-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N MICHIGAN ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622546",
"telephone_number": "620-231-9873"
}
],
"practiceLocations": [
{
"address_1": "8629 Bluejacket St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Lenexa",
"state": "KS",
"postal_code": "662141604",
"country_code": "US",
"telephone_number": "913-677-3553",
"fax_number": "913-677-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Woodland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Fort Scott",
"state": "KS",
"postal_code": "667018797",
"country_code": "US",
"telephone_number": "620-223-8040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASS",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KS",
"license": "2657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100240930A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.