Thomas George Grubba Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4101007278 Issued in MI

Practice address

24281 Cloverlawn St
Oak Park, MI 48237-1501

Phone

(510) 410-3519

NPI assigned

Oct 29, 2019

Sex

Male

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

State licenses

Practice roles

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.

• Thomas Grubba LLC

  • Professional Counselor
  • Oak Park, MI
  • NPI 1407553043

  Single Specialty

  NPD Authorized official
• Genuine Solutions Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Waterford, MI
  • NPI 1588979876

  Mental Health

  NPD (past)
• Therapy Services of Clarkston

  • Clinic/Center
  • Clarkston, MI
  • NPI 1497399745

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1942844451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 CLOVERLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371501",
            "telephone_number": "510-410-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 CLOVERLAWN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371501",
            "telephone_number": "510-410-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBA",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4101007278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.