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SELENA MARIE GROOMS
NPI 1124581160
Case Manager/Care Coordinator in Newark, OH

Active since April 08, 2019

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Selena Marie Grooms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELENA MARIE GROOMS (NPI 1124581160) is an individual case manager/care coordinator provider in Newark, Ohio and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1124581160
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSELENA MARIE GROOMS
Location Address30 S 4TH STNewark, OH 43055-5002
Mailing Address140 E Town St Ste 1450Columbus, OH 43215-6601 · (614) 639-6590
Phone(380) 201-1313
Sole ProprietorYes
Enumeration DateApril 8, 2019
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1124581160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHS
30 S 4TH ST, Newark, OH 43055
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Other Names 1

Other Name (5)Selena Marie Pettit

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL RIDENBAUGH
Counselor (Addiction (Substance Use Disorder))
30 S 4TH ST
NEWARK, OH 43055
Licking County (614) 334-6903
KIARA D BULLOCK RN
Registered Nurse
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
CARRIE ANN WISEMAN
Case Manager/Care Coordinator
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
MICHELE REYNOLDS
Case Manager/Care Coordinator
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
LAURA CHURCH
Behavior Technician
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
BREANNA LONG
Counselor (Addiction (Substance Use Disorder))
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
AIMEE WATSON
Case Manager/Care Coordinator
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313
AMY MARIE CAMP
Case Manager/Care Coordinator
30 S 4TH ST
NEWARK, OH 43055
Licking County (380) 201-1313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selena Grooms's NPI number?

The NPI number for Selena Grooms is 1124581160. It was assigned to this individual provider in the NPPES registry on April 8, 2019. The provider is also known as Selena Marie Pettit.

Where is Selena Grooms located?

Selena Grooms practices at 30 S 4th St, Newark, OH 43055. The listed phone number is (380) 201-1313.

What is Selena Grooms's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Selena Grooms was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.