Michelle Lynn Grendahl, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5834 Issued in OR

Practice address

1395 Ross Rd
Weiser, ID 83672-5745

Phone

(360) 606-4578

NPI assigned

Jul 9, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1134966047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 ROSS RD",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836725745",
            "telephone_number": "360-606-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 ROSS RD",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836725745",
            "telephone_number": "360-606-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDAHL",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Fischer
• Holly Carol Freeman, CMT
• Stephanie Marie Gallegos, LCSW
• Anika Garcia
• Alicia Gonzalez
• Janice Elaine Grimaldo, SLP
• Tom Gudmestad, DDS
• Kent Leroy Hamilton, PAC
• Melissa A Hathhorn, NP
• Laura Haun, A.T.C.

• Mental Health Counselor in Weiser, ID
• Providers in Weiser, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.