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

Last updated

Feb 6, 2022By the provider in NPPES

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

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

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 LLCGroup PAC ID 8224474150, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Beginnings Counseling Omaha Metro LLC

  dba New Beginnings Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
  • NPI 1275201626
  Medicare reassignment Care Compare group NPD
• Catholic Council for Social Concern

  dba Catholic Charities

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

  Mental Health

  NPD

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

{
    "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
• Alison Gray, PMHNP
• Stephanie R Gray, ARNP
• Great Plains Holistic Health
• Dale Clifford Greedy, LMSW, CPC

• Mental Health Counselor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• 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.