Pamela Lynn Graber, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2672 Issued in MN

Practice address

8154 Enclave Rd
Woodbury, MN 55125-3032

Phone

(612) 590-4440

NPI assigned

Nov 13, 2015

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

Opted out of Medicare

Yes, effective Dec 8, 2024 through Dec 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• East Metro Trauma and Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Bear Lake, MN
  • NPI 1740880764
  NPD Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1326412362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8154 ENCLAVE RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253032",
            "telephone_number": "612-590-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8154 ENCLAVE RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253032",
            "telephone_number": "612-590-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Goodmanson
• Jeanne Mackenzie Goodspeed, MD
• Dillon Goolsby, DDS
• Meijie Chen Goudy, CCC-SLP
• Jasmine Star Grabau
• Grace and Renewal LLC
• Graceful Living Home Care LLC
• Grand Companions LLC
• Grand St Paul CVS LLC
• Grand St Paul CVS LLC

• Marriage & Family Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.