Kymberly A Groceman, L.M.H.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002848A Issued in IN

Practice address

902 Commodore Court
Chesterton, IN 46304-9667

Phone

(219) 928-6312

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bridge to Peace Counseling, LLC

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1205430261
  Medicare reassignment NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1780037283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COMMODORE CT",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049667",
            "telephone_number": "219-928-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COMMODORE COURT",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049667",
            "telephone_number": "219-928-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCEMAN",
        "first_name": "KYMBERLY",
        "middle_name": "A",
        "credential": "L.M.H.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Griffith, MS, BCBA, LBA
• Cynthia Lynn Griffith, COTA
• Ann Grihalva, M.S. CCC-SLP
• Anna Elizabeth Grill, PA-C
• Kaitlyn Grimmer
• Paul J Gruszka, M.D.
• Abrey Mae Gudeman
• Rodney Lewis Guimont Jr., M.D.
• Hayley Olivia Gust
• Brianna Gutierrez, RBT

• Mental Health Counselor in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.