Individual provider Active NPI

Jeanne Grenvik, MA, LMFT

  • Marriage & Family Therapist
  • Fergus Falls, MN
National Provider Identifier
1144516360
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2234 Issued in MN
Practice address
225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146
Phone
(218) 531-1424
Fax
(218) 531-1420
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 2234 MN Primary

Addresses

Primary practice location

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146

Mailing address

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146
Phone (218) 531-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240104003499 MN Practitioner - Marriage and Family Therapist 6204218274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Oral Roberts University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Walk Counseling IncGroup PAC ID 1759763725, 4 clinicians

Practice addresses (Care Compare)

225 W Lincoln Ave
Suite 104
Fergus Falls, MN 56537-2146
Phone (218) 531-1424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2234MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Walk Counseling Inc CurrentSince Dec 19, 2023 Accepting new patients
Grenvik Counseling & Mediation Marriage & Family Therapist Current Accepting new patients

Locations

225 W Lincoln Ave
Ste 104
Fergus Falls, MN 56537
Phone (218) 531-1424

Organizations & group practices 2

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1144516360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENVIK",
        "first_name": "JEANNE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.