MARK GROUBERT (NPI# 1124539069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124539069 |
| Entity Type | Individual |
| Full Name | MARK GROUBERT |
| Practice Address |
5675 W Olympic Blvd Los Angeles CA 90036-4712 |
| Mailing Address |
2107 N Vermont Ave Apt 3 Los Angeles CA 90027-1930 |
| Practice Telephone | 3239651365 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 102X00000X | Poetry Therapist | 60549 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RADT-1 | 60549 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2107 N Vermont Ave Apt 3, Los Angeles, CA 900271930 | 3233163072 |
| Street Address |
5675 W OLYMPIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841429669 | Chabad Residential Treatment Center | Substance Abuse Rehabilitation Facility | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2009-07-14 |
| 1215544135 | Jordan Alexander Escobar | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-09-24 |
| 1437765377 | Kevin Lytvak | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-09-16 |
| 1447868302 | Jay Michael Small | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-07-16 |
| 1588281752 | Joshua Daniel Mulnick | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-07-02 |
| 1831715242 | Kalina Noelle | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-06-22 |
| 1588287684 | Shimon Dusowitz | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-05-22 |
| 1174144638 | Eduardo Javier Martinez | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-05-06 |
| 1164053914 | Aron Yakovlev | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-01-30 |
| 1184264467 | Matthew John Stenger | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 102X00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Poetry Therapist |
| A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum. An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication. Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR. |
| Notes: Source: The National Federation for Biblio/Poetry Therapy [7/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740465517 | Eunice Flores-uselman | Poetry Therapist | 1411 E 31st Street, Oakland, CA 94602 | 2007-12-29 |
| City | LOS ANGELES |
| Zip Code | 90036 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.