Individual provider Active NPI

Suzanne M Grannis I, PHD, LPC-MHSP

  • Professional Counselor
  • Murfreesboro, TN
National Provider Identifier
1083165435
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000003593 Issued in TN
Practice address
2033 Veranda PL
Murfreesboro, TN 37130-3269
Phone
(615) 477-9838
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC0000003593 TN
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC0000003593 TN
Mental Health Counselor 101YM0800X LPC0000003593 TN
Professional Counselor 101YP2500X LPC0000003593 TN Primary

Addresses

Primary practice location

2033 Veranda PL
Murfreesboro, TN 37130-3269

Mailing address

2033 Veranda PL
Murfreesboro, TN 37130-3269
Phone (615) 477-9838

Other practice location 1

1608 Williams Dr Ste 301
Murfreesboro, TN 37129-3195
Phone (615) 653-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240130002159 TN Practitioner - Mental Health Counselor 7214380849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RH Mental Health LLCGroup PAC ID 2961871397, 14 clinicians

Practice addresses (Care Compare)

1608 Williams Dr
Suite 301
Murfreesboro, TN 37129-3195
Phone (615) 653-4115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC0000003593TNMDProfessional Counselor
3593TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

223 Dunbar Cave Rd
Ste A
Clarksville, TN 37043
Phone (931) 444-2319

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

5300 Centennial Blvd
Ste 210
Nashville, TN 37209
Phone (615) 882-4196

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1083165435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 VERANDA PL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303269",
            "telephone_number": "615-477-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 VERANDA PL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303269",
            "telephone_number": "615-477-9838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Williams Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293195",
            "country_code": "US",
            "telephone_number": "615-653-4115",
            "fax_number": "615-413-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANNIS",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHD, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC0000003593",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LPC0000003593",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000003593",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.