Kristine Granacher, LMFT
Individual provider Active NPI Mental Health Counselor · Minneapolis, MN
NPI 1417870692 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1417870692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4489 (MN)
- Practice address
- 615 W 35TH St
Minneapolis, MN 55408-4602 - Phone
- (612) 662-7160
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4489 | MN | Yes |
Addresses
Primary practice location
615 W 35TH St
Minneapolis, MN 55408-4602
Mailing address
615 W 35TH St
Minneapolis, MN 55408-4602
Phone (612) 662-7160
Other providers in Minneapolis, MN
- Rebekah Gramenz
- Frederick C Gramith
- Megan Michelle Gramlow
- Gary L Grammens
- Kevin Grams
- Michele D Granada
- Carrie Jean Granbois
- Grand Avenue Rest Home Inc
- Grand Home Health Serive Inc
- Grand St Paul CVS LLC
All providers in Minneapolis, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.