Ann Gefen Grenadier, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2969 Issued in FL

Practice address

11512 Lake Mead Avenue
Suite 703
Jacksonville, FL 32256

Phone

(904) 646-0054

Fax

(904) 646-0630

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Biofeedback Associates of NE FL

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1235152604
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1174665178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569681",
            "telephone_number": "904-646-0054",
            "fax_number": "904-646-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVENUE",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-646-0054",
            "fax_number": "904-646-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENADIER",
        "first_name": "ANN",
        "middle_name": "GEFEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aureau C Gregrow, LCSW
• Daniel Greico
• Jack Leeland Greider Jr., M.D.
• Virginia Mary Greiner, ARNP
• Ami Grek, ARNP
• Krista Nicole Grennan, MD
• Nicole Grennan
• Cody Gresham
• Mary Elizabeth Gresham, LCSW
• Kelsey Gress

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.