Individual provider Active NPI

Kristina Graber

  • Marriage & Family Therapist
  • Greenfield, IN
National Provider Identifier
1083007462
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001907A Issued in IN
Practice address
28 N East St
Greenfield, IN 46140-2167
Phone
(317) 649-4311
Fax
(317) 649-4375
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001907A IN Primary

Addresses

Primary practice location

28 N East St
Greenfield, IN 46140-2167

Mailing address

28 N East St
Greenfield, IN 46140-2167
Phone (317) 649-4311

Other identifiers 1

IdentifierTypeStateIssuer
300044232MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002463 IN Practitioner - Marriage and Family Therapist 1759717374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Origins Family Counseling, LLCGroup PAC ID 3577999184, 5 clinicians

Practice addresses (Care Compare)

28 N E St
Greenfield, IN 46140-2167
Phone 3176494311301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origins Family Counseling, LLC CurrentSince Jan 18, 2020 Accepting new patients

Locations

18 E Main St
Ste 216
Greenfield, IN 46140
Phone (317) 649-4311

28 N East St
Greenfield, IN 46140
Phone (317) 649-4311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1083007462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "317-649-4311",
            "fax_number": "317-649-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N EAST ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402167",
            "telephone_number": "317-649-4311",
            "fax_number": "317-649-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001907A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044232",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.