Individual provider Active NPI

Theresa Lynn Graber-Gimmeson, LPC

  • Professional Counselor
  • Grangeville, ID
National Provider Identifier
1740615772
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5107 Issued in ID
Practice address
304 N State St
Grangeville, ID 83530-1769
Phone
(208) 983-0235
Fax
(208) 983-0245
NPI assigned
Sep 10, 2013
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 LPC-5107 ID Primary

Addresses

Primary practice location

304 N State St
Grangeville, ID 83530-1769

Mailing address

175 Highland CT
Orofino, ID 83544-9635
Phone (208) 791-6871

Other practice location 1

1275 Riverside Ave
Orofino, ID 83544-6025
Phone (208) 476-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20241203002082 ID Practitioner - Mental Health Counselor 1850682725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camas Professional CounselingGroup PAC ID 3476579160, 3 clinicians

Practice addresses (Care Compare)

304 N State St
Grangeville, ID 83530-1769
Phone (208) 983-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camas Professional Counseling CurrentSince Sep 23, 2024 Accepting new patients
A to Z Counseling, LLC CurrentSince Apr 10, 2026 Accepting new patients
A to Z Counseling, LLC PastSince Apr 10, 2026 Accepting new patients

Locations

304 N State St
Grangeville, ID 83530
Phone (208) 983-0235

1275 Riverside Ave
Orofino, ID 83544
Phone (208) 476-7091

Organizations & group practices 3

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1740615772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HIGHLAND CT",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449635",
            "telephone_number": "208-791-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N STATE ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835301769",
            "telephone_number": "208-983-0235",
            "fax_number": "208-983-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Orofino",
            "state": "ID",
            "postal_code": "835446025",
            "country_code": "US",
            "telephone_number": "208-476-7483",
            "fax_number": "208-476-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER-GIMMESON",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grangeville, ID

Sources for this page

Verify at the official NPI Registry.