Active NPI
John W. Grogan Jr., PHD
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1992822472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 108
- Practice address
- 1302 S Shields St
Suite A2-2
Fort Collins, CO 80521-4801 - Phone
- (970) 213-1904
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 108 | CO | Primary |
Addresses
Primary practice location
1302 S Shields St
Suite A2-2
Fort Collins, CO 80521-4801
Mailing address
1302 S Shields St
Suite A2-2
Fort Collins, CO 80521-4801
Phone (970) 213-1904
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108 | CO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326499200000",
"number": "1992822472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 S SHIELDS ST",
"address_2": "SUITE A2-2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214801",
"telephone_number": "970-213-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S SHIELDS ST",
"address_2": "SUITE A2-2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214801",
"telephone_number": "970-213-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROGAN",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2012-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.