Individual provider Active NPI

Kevin Larry Grunig, M.ED

  • Professional Counselor
  • Rawlins, WY
National Provider Identifier
1679205272
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2000 Issued in WY
Practice address
721 W Maple St
Rawlins, WY 82301-5447
Phone
(435) 764-9206
NPI assigned
Jun 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2000 WY Primary

Addresses

Primary practice location

721 W Maple St
Rawlins, WY 82301-5447

Mailing address

724 E Murray St
Rawlins, WY 82301-4451
Phone (435) 764-9206

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.hcbh.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240312001578 WY Practitioner - Mental Health Counselor 8224474333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1217 S Greeley Hwy
Suite B
Cheyenne, WY 82007-3063
Phone (307) 202-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2000WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026

1217 S Greeley Hwy
Ste B
Cheyenne, WY 82007
Phone (307) 202-4005

1217 S Greeley Hwy
Ste A
Cheyenne, WY 82007
Phone (307) 772-0955

Interoperability endpoints

  • Direct secure messaging: kevin.grunig.1@30920.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1679205272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E MURRAY ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823014451",
            "telephone_number": "435-764-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015447",
            "telephone_number": "435-764-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNIG",
        "first_name": "KEVIN",
        "middle_name": "LARRY",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.hcbh.org/",
            "affiliation": "N",
            "address_1": "721 W Maple St",
            "city": "Rawlins",
            "state": "WY",
            "country_code": "US",
            "postal_code": "823015447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.