Individual provider Active NPI

Mark Led Grebener, LCSW LAC

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1558462481
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5574 S Prince St
#11
Littleton, CO 80120
Phone
(303) 883-4808
Fax
(303) 794-6736
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC 127 CO
Clinical Social Worker 1041C0700X CSW 434 CO
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

5574 S Prince St
#11
Littleton, CO 80120

Mailing address

1418 E Irwin Lane
Centennial, CO 80122
Phone (303) 883-4808

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC 127COMDAddiction (Substance Use Disorder) Counselor
CSW 434COMDClinical Social Worker
149010487ILMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558462481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E IRWIN LANE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "303-883-4808",
            "fax_number": "303-794-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5574 S PRINCE ST",
            "address_2": "#11",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "303-883-4808",
            "fax_number": "303-794-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBENER",
        "first_name": "MARK",
        "middle_name": "LED",
        "name_prefix": "Mr.",
        "credential": "LCSW LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "LAC 127",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW 434",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.