Maria Diane Grzybek, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.003772 Issued in IL

Practice address

1851 Douglas Rd
Montgomery, IL 60538-2159

Phone

(630) 701-1690

NPI assigned

Dec 7, 2010

Last updated

Mar 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compassion Counseling Inc.Group PAC ID 4587826540, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassion Counseling Inc.

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1770857922
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1962705350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS ROAD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "60538",
            "telephone_number": "630-701-1690",
            "fax_number": "630-844-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-701-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYBEK",
        "first_name": "MARIA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grassroots Therapy Group LLC
• Grassroots Therapy LLC
• Cassandra Green, R.N., CSFA
• Kelly Grill-Cooper, MS
• Mary Ann Grutza
• Robert Leroy Hamlin, LCSW
• Wallace Benjamin Hamlin, LCPC
• Kyle Hammond
• Hilda Dolapo Hassan
• John Charles Hauwiller, DMD

• Professional Counselor in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.