Organization Active NPI

Grenvik Counseling & Mediation

  • Marriage & Family Therapist
  • Fergus Falls, MN
National Provider Identifier
1891347357
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GRENVIK COUNSELING & MEDIATION
Practice address
125 W Lincoln Ave Ste 4
Fergus Falls, MN 56537-2152
Phone
(952) 239-6354
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Jeanne G Grenvik, LMFTNPI 1144516360
Title
Behavioral Health Professional
Phone
(952) 239-6354

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

125 W Lincoln Ave Ste 4
Fergus Falls, MN 56537-2152

Mailing address

629 W Maple Ave
Fergus Falls, MN 56537-1941
Phone (952) 239-6354

National Provider Directory

National Provider Directory

Locations

125 W Lincoln Ave
Ste 4
Fergus Falls, MN 56537
Phone (952) 239-6354

Practitioners & affiliated clinicians

Practitioners 1

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1891347357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W MAPLE AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371941",
            "telephone_number": "952-239-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W LINCOLN AVE STE 4",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372152",
            "telephone_number": "952-239-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENVIK COUNSELING & MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "GRENVIK",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "952-239-6354",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.