Individual provider Active NPI

Maire Catherine Grupp, LSW

  • Social Worker
  • Goshen, IN
National Provider Identifier
1821977083
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33012642A Issued in IN
Practice address
136 Roxbury Park
Goshen, IN 46526-1730
Phone
(317) 210-3075
Fax
(317) 204-8787
NPI assigned
Aug 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33012642A IN Primary
Social Worker 104100000X 6851120663 MI

Addresses

Primary practice location

136 Roxbury Park
Goshen, IN 46526-1730

Mailing address

24007 Merrilyn CT
Farmington, MI 48336-2333
Phone (317) 678-7337

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
33012642AINMDSocial Worker
6851120663MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Counseling Services, Inc. CurrentSince Sep 3, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1821977083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 MERRILYN CT",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362333",
            "telephone_number": "317-678-7337",
            "fax_number": "317-204-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 ROXBURY PARK",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261730",
            "telephone_number": "317-210-3075",
            "fax_number": "317-204-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPP",
        "first_name": "MAIRE",
        "middle_name": "CATHERINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33012642A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851120663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.