Individual provider Active NPI

Michelle Nikole Grooman, AMFT 477258

  • Mental Health Counselor
  • Brentwood, CA
National Provider Identifier
1801379219
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT477258 Issued in CA
Practice address
1191 Central Blvd Ste a
Brentwood, CA 94513-2253
Phone
(855) 223-7123
NPI assigned
Sep 11, 2018
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT477258 CA Primary

Addresses

Primary practice location

1191 Central Blvd Ste a
Brentwood, CA 94513-2253

Mailing address

130 E Leland Rd Ste C
Pittsburg, CA 94565-4954
Phone (925) 550-0103

Other practice location 1

1855 2nd St Ste B
Concord, CA 94519-2623
Phone (855) 223-7123

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
AMFT477258CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Mental Wellness Group, a Family Counseling Community, Inc. CurrentSince Nov 7, 2025 Accepting new patients

Locations

130 E Leland Rd
Ste C
Pittsburg, CA 94565
Phone (925) 384-3997

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1801379219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654954",
            "telephone_number": "925-550-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CENTRAL BLVD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132253",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 2nd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945192623",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOMAN",
        "first_name": "MICHELLE",
        "middle_name": "NIKOLE",
        "credential": "AMFT 477258",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT477258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.