Provider Demographics
NPI:1073301164
Name:GROTE, DENISE (LMHC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:GROTE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 E 400 N
Mailing Address - Street 2:
Mailing Address - City:OSSIAN
Mailing Address - State:IN
Mailing Address - Zip Code:46777-8938
Mailing Address - Country:US
Mailing Address - Phone:260-273-8764
Mailing Address - Fax:
Practice Address - Street 1:1740 E 400 N
Practice Address - Street 2:
Practice Address - City:OSSIAN
Practice Address - State:IN
Practice Address - Zip Code:46777-8938
Practice Address - Country:US
Practice Address - Phone:260-273-8764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39004610A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health