Kendra A Grenada, MS, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18022-130 Issued in WI

Practice address

2727 W Cleveland Ave Ste 204
Milwaukee, WI 53215-2956

Phone

(414) 269-8356

Fax

(414) 455-1915

NPI assigned

Nov 29, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Access Recovery Mental Health Services

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1154786697
  NPD
• Sullivan Medical Clinic, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Milwaukee, WI
  • NPI 1205263159
  NPD (past)

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1437869609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE STE 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "414-269-8356",
            "fax_number": "414-455-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE STE 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "414-269-8356",
            "fax_number": "414-455-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENADA",
        "first_name": "KENDRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18022-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAC-IT",
            "identifier": "18022-130",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgrenada@armhswi.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Cleveland Ave Ste 204",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532152956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raina L Gregory
• Robert Joseph Gregory
• Ann-Margaret Greif, R.N.
• Megan L Grekowicz, APNP
• Monica L Gremillion, PHD
• Julie M. Grenzer, MSN, CNM
• Sara Beth Gresbach, OTRL
• Robert Gresen, PH.D.
• Courtney Greseth
• Dawn Marie Gresham

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.