Individual provider Active NPI

John Granger

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1093352288
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2008 Issued in NE
Practice address
6818 Grover St Ste 301
Omaha, NE 68106-3632
Phone
(531) 466-2326
Fax
(531) 772-0266
NPI assigned
Dec 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1326 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 20008 IA
Mental Health Counselor 101YM0800X 099193 IA
Mental Health Counselor 101YM0800X 2008 NE Primary

Addresses

Primary practice location

6818 Grover St Ste 301
Omaha, NE 68106-3632

Mailing address

3240 S 45TH St
Omaha, NE 68106-4028
Phone (531) 466-2326

Other identifiers 1

IdentifierTypeStateIssuer
10027158400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250731004007 NE Practitioner - Mental Health Counselor 1052829199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Couch Counseling LLCGroup PAC ID 8325415201, 7 clinicians

Practice addresses (Care Compare)

223 E 8TH St
York, NE 68467-3040
Phone (402) 205-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099193IAMDMental Health Counselor
20008IAMDPharmacist
2008NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Couch Counseling LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

223 E 8th St
York, NE 68467
Phone (402) 205-8998

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1093352288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 S 45TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681064028",
            "telephone_number": "531-466-2326",
            "fax_number": "531-772-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST STE 301",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063632",
            "telephone_number": "531-466-2326",
            "fax_number": "531-772-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1326",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "20008",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "099193",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027158400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.