Melissa L. Grossman, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC C1574 Issued in OR

Practice address

2929 SW Multnomah Blvd
Suite305
Portland, OR 97219-4025

Phone

(503) 788-7997

NPI assigned

Nov 10, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Prelude

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corvallis, OR
  • NPI 1225882368
  NPD

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1912234022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD",
            "address_2": "SUITE305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194025",
            "telephone_number": "503-788-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD",
            "address_2": "SUITE305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194025",
            "telephone_number": "503-788-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "LPC  C1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Lynn Grosskopf, LMT
• Erica Danielle Grossman, MS, LPC
• Fred M Grossman, PH.D.
• Frederick Daniel Grossman, PHD
• Ian Grossman
• Sadie Grossman
• Brenda Lynn Grossnickle, CNS
• Douglas Reed Grossnickle, MD
• Michael A Grossnickle, RPH
• Stephanie Jane Grosul

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.