Individual provider Active NPI

Brian Granneman, LMHC, CAP, CCTP

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1508697848
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25312 Issued in FL
Practice address
1715 Heritage TRL Ste 203
Naples, FL 34112-8715
Phone
(239) 212-1500
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH25312 FL Primary

Addresses

Primary practice location

1715 Heritage TRL Ste 203
Naples, FL 34112-8715

Mailing address

171 29TH St SW
Naples, FL 34117-3120
Phone (239) 777-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250324001802 FL Practitioner - Mental Health Counselor 6608398243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1715 Heritage TRL
Suite 203
Naples, FL 34112-8715
Phone (239) 212-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC Mental Health CurrentSince Feb 19, 2025 Accepting new patients
Naples Integrated Recovery Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

2345 Stanford Ct
Ste 602
Naples, FL 34112
Phone (239) 537-9646

1715 Heritage Trl
Ste 203
Naples, FL 34112
Phone (239) 212-1500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1508697848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 29TH ST SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341173120",
            "telephone_number": "239-777-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HERITAGE TRL STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128715",
            "telephone_number": "239-212-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANNEMAN",
        "first_name": "BRIAN",
        "credential": "LMHC, CAP, CCTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.