Allyn Brooke Granade, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4792 Issued in OR

Practice address

387 65TH St
Springfield, OR 97478-7067

Phone

(541) 291-2716

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conachy & Chang Counseling Services, LLC

  • Professional Counselor
  • Ashland, OR
  • NPI 1346024387
  NPD
• Pratibha Shulamit Eastwood, PHD, Inc.

  • Psychologist
  • Honolulu, HI
  • NPI 1336335918
  NPD
• Crossings Counseling and Family Resource Center

  • Mental Health Counselor
  • Medford, OR
  • NPI 1952802092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1790287043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975030022",
            "telephone_number": "541-234-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 65TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787067",
            "telephone_number": "541-291-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975047633",
            "country_code": "US",
            "telephone_number": "541-690-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADE",
        "first_name": "ALLYN",
        "middle_name": "BROOKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Gordon, NP
• Bella Cherise Gorichar
• Dennis J Gory, M.D.
• Erin Dail Grace
• Rodney Graham
• Pauline Grand, LPN
• Donna Gail Grant, R.N.
• Cynthia Ann Graves, RN
• Kelsee Graves
• Kimberly M Gray, LPN

• Professional Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.