Individual provider Active NPI

Kimberly Maxwell Grantier

  • Art Therapist
  • Minneapolis, MN
National Provider Identifier
1770478091
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
25-077 Issued in MN
Practice address
5027 36TH Ave S
Minneapolis, MN 55417-1516
Phone
(509) 304-4454
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 25-077 MN Primary

Addresses

Primary practice location

5027 36TH Ave S
Minneapolis, MN 55417-1516

Mailing address

5027 36TH Ave S
Minneapolis, MN 55417-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

658 Grand Ave
Suite 201
Saint Paul, MN 55105-3417

7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25-077MNMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grander Peace Counseling LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

658 Grand Ave
Ste 201
Saint Paul, MN 55105
Phone (612) 454-1656

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1770478091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171516",
            "telephone_number": "509-304-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTIER",
        "first_name": "KIMBERLY",
        "middle_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MN",
            "license": "25-077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.