Stefanie Granzin, M.A.
Individual provider Active NPI Marriage & Family Therapist · Spring Lake, NJ
NPI 1700214723 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1700214723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 37AC00139000 (NJ)
- Practice address
- 10 Devon Court
Spring Lake, NJ 07762 - Phone
- (732) 642-1658
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2164 Hwy 35
Suite 6
Sea Girt, NJ 08750
236 Club Dr
Wall Township, NJ 07719-9451
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030003538 | NJ | Practitioner - Mental Health Counselor | 8325537145 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00139000 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granzin'S Counseling Services LLC | Current |
Accepting new patients |
Locations
2164 Highway 35
Ste 6
Sea Girt, NJ 08750
Phone (732) 256-4940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37AC00139000 | NJ | Yes |
Addresses
Primary practice location
10 Devon Court
Spring Lake, NJ 07762
Mailing address
10 Devon CT
Spring Lake, NJ 07762-2293
Phone (732) 642-1658
Other providers in Spring Lake, NJ
- Stephanie Gaburo
- Aimee Geyer
- Richard M Gill
- Anne L Gomez
- Olivia Goossen
- Robert Guenther
- Eileen Gurgone
- Mark J. Hannah
- Ellen Harty Miele
- Janet S Hawkins
All providers in Spring Lake, NJ · Marriage & Family Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.