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JENNIFER L GROOMS CDCA
NPI 1669050373
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Active since April 01, 2021
2115 W PARK DR, LORAIN, OH 44053(440) 989-4900 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2022, Apr 1, 2021 (2 updates tracked since 2021).

About Jennifer L Grooms Cdca NPPES

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

JENNIFER L GROOMS CDCA (NPI 1669050373) is an individual addiction (substance use disorder) provider in Lorain, Ohio, licensed in Ohio (LCDCII.161781) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1669050373
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER L GROOMSCredential: CDCA
Location Address2115 W PARK DRLorain, OH 44053-1138
Mailing Address6136 W River Rd SElyria, OH 44035-5432 · (440) 258-8452
Phone(440) 989-4900
Sole ProprietorYes
Enumeration DateApril 1, 2021
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1669050373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OH · LCDCII.161781✔ Licensed in OH · CDCA.175731
2115 W PARK DR, Lorain, OH 44053
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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.

EMILY WINFIELD OCPSA.161655
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
RACHEL RUPERT LPN
Licensed Practical Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
KENNEDY FAITH WILBERT CYPS, OCPSA
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
REBECCA A MANGOL RN
Registered Nurse (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
LAURIE JONES CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4905
LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC.
Community/Behavioral Health
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 282-4777
PAULA LYN MINCH RN
Registered Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
DEREK BENTOFF CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900

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 Jennifer Grooms's NPI number?

The NPI number for Jennifer Grooms is 1669050373. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jennifer Grooms located?

Jennifer Grooms practices at 2115 W Park Dr, Lorain, OH 44053. The listed phone number is (440) 989-4900.

What is Jennifer Grooms's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Grooms was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.