Active NPI
Stephanie Jane Grenadier, LMHC
- Mental Health Counselor
- Braintree, MA
National Provider Identifier
1689899254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4388
- Practice address
- 8 Brookside Rd
Rear Unit
Braintree, MA 02184-5106 - Phone
- (781) 843-0111
- Fax
- (781) 843-0111
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4388 | MA | Primary |
Addresses
Primary practice location
8 Brookside Rd
Rear Unit
Braintree, MA 02184-5106
Mailing address
24 Whitcomb Ave
Hingham, MA 02043-3384
Phone (781) 749-2401
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 |
|---|---|---|---|
| 4388 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689899254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WHITCOMB AVE",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433384",
"telephone_number": "781-749-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BROOKSIDE RD",
"address_2": "REAR UNIT",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845106",
"telephone_number": "781-843-0111",
"fax_number": "781-843-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENADIER",
"first_name": "STEPHANIE",
"middle_name": "JANE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.