Individual provider Active NPI

Grant James Prenzler, MA, LPC, ATR

  • Professional Counselor
  • Taylor, MI
National Provider Identifier
1730686007
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223532 Issued in MI
Practice address
9333 Telegraph Rd Ste 200
Taylor, MI 48180-3386
Phone
(313) 406-4493
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 6401223532 MI Primary

Addresses

Primary practice location

9333 Telegraph Rd Ste 200
Taylor, MI 48180-3386

Mailing address

23422 Tireman St
Dearborn Heights, MI 48127-1559
Phone (989) 751-4635

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401223532MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Therapy Associates PastSince Mar 28, 2021 Accepting new patients

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1730686007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23422 TIREMAN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271559",
            "telephone_number": "989-751-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 TELEGRAPH RD STE 200",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803386",
            "telephone_number": "313-406-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENZLER",
        "first_name": "GRANT",
        "middle_name": "JAMES",
        "credential": "MA, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.