Active NPI
Justyna Grobel-Kuczek, LPCMH
- Professional Counselor
- Newark, DE
National Provider Identifier
1922136233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0000330
- Practice address
- 262 Chapman Rd
Bellevue Building, Suite 100
Newark, DE 19702-5448 - Phone
- (302) 292-0888
- Fax
- (302) 292-0889
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0000330 | DE | Primary |
Addresses
Primary practice location
262 Chapman Rd
Bellevue Building, Suite 100
Newark, DE 19702-5448
Mailing address
306 Cigar Loop
Havre de Grace, MD 21078-2348
Phone (443) 502-2204
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000330 | DE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922136233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CIGAR LOOP",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782348",
"telephone_number": "443-502-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 CHAPMAN RD",
"address_2": "BELLEVUE BUILDING, SUITE 100",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025448",
"telephone_number": "302-292-0888",
"fax_number": "302-292-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROBEL-KUCZEK",
"first_name": "JUSTYNA",
"name_prefix": "Mrs.",
"credential": "LPCMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DE",
"license": "0000330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.