JESSICA GROUT
NPI 1184015745
Counselor - Mental Health in San Diego, CA
Active since February 17, 2015
About Jessica Grout NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA GROUT (NPI 1184015745) is an individual mental health provider in San Diego, California, licensed in California (18907) and active in the NPI registry since February 2015.
NPPES Registry Identity
NPI1184015745
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA GROUT
Location Address4850 67TH STSan Diego, CA 92115-2903
Mailing Address4850 67th StSan Diego, CA 92115-2903
Phone(619) 305-0802
Sole ProprietorNo
Enumeration DateFebruary 17, 2015
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1184015745 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 18907
4850 67TH ST, San Diego, CA 92115
Other Names 1
Former Name (1)Jessica P Grout-mccoy
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
4850 67TH ST
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184015745, enumerated as an "individual" on February 17, 2015.
The provider is located at 4850 67TH ST SAN DIEGO, CA 92115 and the phone number is (619) 305-0802.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
