Debrenee D Grajeda, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

110349 Issued in IA

Practice address

1215 N Broadway
Council Bluffs, IA 51503-1548

Phone

(712) 328-3086

Fax

(712) 328-2059

NPI assigned

Feb 6, 2022

Sex

Female

Sole proprietor

No

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.

• New Beginnings Counseling Omaha Metro LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
  • NPI 1275201626

  NE

  Medicare reassignment Care Compare group NPD
• Catholic Council for Social Concern

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1215153895

  Mental Health

  NPD

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Beginnings Counseling Omaha Metro LLC 10 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2022.

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1417601733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092501",
            "telephone_number": "515-237-5092",
            "fax_number": "515-237-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031548",
            "telephone_number": "712-328-3086",
            "fax_number": "712-328-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "DEBRENEE",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "110349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Therapy, PC
• Michael David Grace, BC-HIS
• Stephanie Grade
• Kallee R Graham
• Robert Wallace Graham, D.O.
• Gray Holdings
• Stephanie R Gray, ARNP
• Great Plains Holistic Health
• Dale Clifford Greedy, LMSW, CPC
• Cory James Green, PTA

• All providers in Council Bluffs, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.