Individual provider Active NPI

Savannah Grandusky, LPC-ASSOCIATE

  • Mental Health Counselor
  • Temple, TX
National Provider Identifier
1902605751
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92489 Issued in TX
Practice address
3701 Robinhood Dr
Temple, TX 76502-2400
Phone
(254) 931-0835
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 92489 TX Primary

Addresses

Primary practice location

3701 Robinhood Dr
Temple, TX 76502-2400

Mailing address

3809 S General Bruce Dr Ste 103-113
Temple, TX 76502-1035
Phone (682) 978-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114002677 TX Practitioner - Mental Health Counselor 2961988407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1519 Florence Rd
Suite 5
Killeen, TX 76541-7903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92489TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Industries, LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

331 Indian Trl
Ste 109
Harker Heights, TX 76548
Phone (254) 300-7798

1519 Florence Rd
Ste 5
Killeen, TX 76541
Phone (254) 220-0671

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1902605751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 S GENERAL BRUCE DR STE 103-113",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021035",
            "telephone_number": "682-978-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ROBINHOOD DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022400",
            "telephone_number": "254-931-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDUSKY",
        "first_name": "SAVANNAH",
        "name_prefix": "Mrs.",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.