Organization Active NPI

Jesse Gronback Counseling Services

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1902392947
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007267 Issued in NC
Legal business name
JESSE GRONBACK COUNSELING SERVICES
Practice address
390 Merrimon Ave
Asheville, NC 28801-1222
Phone
(919) 971-3328
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Darsey Driver
Title
Manager
Phone
(336) 692-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C007267 NC Primary

Addresses

Primary practice location

390 Merrimon Ave
Asheville, NC 28801-1222

Mailing address

390 Merrimon Ave
Asheville, NC 28801-1222
Phone (919) 971-3328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1902392947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011222",
            "telephone_number": "919-971-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011222",
            "telephone_number": "919-971-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE GRONBACK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "DARSEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-692-7615"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.