Individual provider Active NPI

Andrew Sand Groeschel

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1902083470
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
60680360 Issued in WA
Practice address
16150 NE 85TH St Ste 121
Redmond, WA 98052-3542
Phone
(425) 868-5777
NPI assigned
Jan 28, 2008
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 79840 CA
Marriage & Family Therapist 106H00000X 202440 TX
Marriage & Family Therapist 106H00000X 60680360 WA Primary

Addresses

Primary practice location

16150 NE 85TH St Ste 121
Redmond, WA 98052-3542

Mailing address

489 Clementina St
3Rd Floor
San Francisco, CA 94103-4106
Phone (415) 495-6071

Other practice location 1

5000 Bee Caves Rd Ste 100
West Lake Hills, TX 78746-5254
Phone (512) 298-3381

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
202440TXMDMarriage & Family Therapist
60680360WAMDMarriage & Family Therapist
79840CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902083470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 CLEMENTINA ST",
            "address_2": "3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034106",
            "telephone_number": "415-495-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 121",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523542",
            "telephone_number": "425-868-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Bee Caves Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465254",
            "country_code": "US",
            "telephone_number": "512-298-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROESCHEL",
        "first_name": "ANDREW",
        "middle_name": "SAND",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79840",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202440",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60680360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.