Active NPI
Annie Grace Graterra, LMHP
- Professional Counselor
- Elkhorn, NE
National Provider Identifier
1881349272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2353
- Practice address
- 1300 N 216TH St
Elkhorn, NE 68022-1619 - Phone
- (402) 968-6097
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2353 | NE | Primary |
Addresses
Primary practice location
1300 N 216TH St
Elkhorn, NE 68022-1619
Mailing address
1300 N 216TH St
Elkhorn, NE 68022-1619
Phone (402) 968-6097
Other names 1
- Anne Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223001691 | NE | Practitioner - Mental Health Counselor | 8325575848 | Practice locations: Elkhorn, NE |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1881349272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 216TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221619",
"telephone_number": "402-968-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 216TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221619",
"telephone_number": "402-968-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATERRA",
"first_name": "ANNIE",
"middle_name": "GRACE",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "THOMPSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.