Anna Renea Graves

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

127129 Issued in IA

Practice address

4700 Gordon Dr
Sioux City, IA 51106-1911

Phone

(712) 318-3351

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1467200360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 4TH AVE APT 207",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063016",
            "telephone_number": "712-202-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061911",
            "telephone_number": "712-318-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 4th Ave Apt 207",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511063016",
            "country_code": "US",
            "telephone_number": "712-202-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ANNA",
        "middle_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "127129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gran, PHARMD
• Edward Claude Granger, H.I.S.
• Jeremy Julian Granger, M.D.
• Sandra Kay Swedean Granger, MD
• Kiel Grant, PHARM.D
• Dylan C Greene, M.D
• Greenville Pharmacy Inc
• Greenville Pharmacy Inc
• Paul Robert Gregory, M.D.
• Justin Grevengoed

• Mental Health Counselor in Sioux City, IA
• Providers in Sioux City, 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 Aug 5, 2024; 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.