MR. DEMETRIC DEWAYNE GROSS QBHP
NPI 1154896702
Counselor - Mental Health in Little Rock, AR

Active since October 10, 2018
20400 COL GLENN RD, LITTLE ROCK, AR 72210(501) 821-5500 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Demetric Dewayne Gross Qbhp NPPES

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

MR. DEMETRIC DEWAYNE GROSS QBHP (NPI 1154896702) is an individual mental health provider in Little Rock, Arkansas and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1154896702
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEMETRIC DEWAYNE GROSSCredential: QBHP
Location Address20400 COL GLENN RDLittle Rock, AR 72210-5323
Mailing Address20400 Col Glenn RdLittle Rock, AR 72210-5323 · (501) 821-5500
Sole ProprietorNo
Enumeration DateOctober 10, 2018
NPI 1154896702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20400 COL GLENN RD, Little Rock, AR 72210

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Counselor (Mental Health)
20400 COL GLENN RD
LITTLE ROCK, AR 72210

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 Demetric Gross's NPI number?

The NPI number for Demetric Gross is 1154896702. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Demetric Gross located?

Demetric Gross practices at 20400 Col Glenn Rd, Little Rock, AR 72210. The listed phone number is (501) 821-5500.

What is Demetric Gross's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Demetric Gross was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.