Active NPI
Karen M Granberg, LMHP, CPC
- Mental Health Counselor
- Wayne, NE
National Provider Identifier
1477026177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1004
- Practice address
- 421 N Pearl St RM 206
Wayne, NE 68787-1904 - Phone
- (402) 369-4752
- NPI assigned
- Jan 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1004 | NE | |
| Professional Counselor | 101YP2500X | 851 | NE | |
| Mental Health Counselor | 101YM0800X | 1004 | NE | Primary |
Addresses
Primary practice location
421 N Pearl St RM 206
Wayne, NE 68787-1904
Mailing address
PO Box 14
Wayne, NE 68787-0014
Phone (402) 375-1506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1004 | NE | MD | Counselor |
| 851 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1477026177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "WAYNE",
"state": "NE",
"postal_code": "687870014",
"telephone_number": "402-375-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N PEARL ST RM 206",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871904",
"telephone_number": "402-369-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANBERG",
"first_name": "KAREN",
"middle_name": "M",
"credential": "LMHP, CPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "851",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.