Organization Active NPI

Granum Counseling LLC

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1831912146
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRANUM COUNSELING LLC
Practice address
5515 E 18TH Street, Suite 130
Sioux Falls, SD 57110
Phone
(605) 774-2204
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Derek Granum, CSW-PIP, QMHPNPI 1982259230
Title
Mental Health Therapist
Phone
(605) 774-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5515 E 18TH Street, Suite 130
Sioux Falls, SD 57110

Mailing address

7808 E Marana St
Sioux Falls, SD 57110-6455
Phone (605) 774-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814001831 SD Part B Supplier - Clinic/Group Practice 6305344763 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1831912146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 E MARANA ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106455",
            "telephone_number": "605-774-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 E 18TH STREET, SUITE 130",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57110",
            "telephone_number": "605-774-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANUM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "GRANUM",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "605-774-2204",
        "authorized_official_credential": "CSW-PIP, QMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.