Individual provider Active NPI

Tammy M Groszczyk, M.S. LPC

  • Professional Counselor
  • Elm Grove, WI
National Provider Identifier
1932138245
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3213125 Issued in WI
Practice address
890 Elm Grove Rd Ste 6
Elm Grove, WI 53122
Phone
(262) 695-9061
NPI assigned
Jun 30, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3213125 WI Primary

Addresses

Primary practice location

890 Elm Grove Rd Ste 6
Elm Grove, WI 53122

Mailing address

PO Box 542
Pewaukee, WI 53072-0542
Phone (262) 695-9061

Other identifiers 1

IdentifierTypeStateIssuer
40955800MedicaidWI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3213125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1932138245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530720542",
            "telephone_number": "262-695-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD STE 6",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-695-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSZCZYK",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3213125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40955800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.