Kevin J Grannes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112058 Issued in TX

Practice address

1216 Duncan Rd
Copperas Cove, TX 76522-7409

Phone

(254) 577-4880

Fax

(254) 518-5300

NPI assigned

Dec 5, 2023

Sex

Male

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

Locations

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.

• Angels on the Horizon Therapeutic Center, LLC

  • Counselor
  • Killeen, TX
  • NPI 1780067090

  Single Specialty

  NPD
• Travail Adaptations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Copperas Cove, TX
  • NPI 1679041339
  NPD (past)

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1922875475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227409",
            "telephone_number": "254-577-4880",
            "fax_number": "254-518-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227409",
            "telephone_number": "254-577-4880",
            "fax_number": "254-518-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANNES",
        "first_name": "KEVIN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gifted Hands Salon & Spa
• Heather Eileen Gilligan, RN
• Kaniya Girard, LPC-ASSOCIATE
• David Y Go, MD
• Velma Christine Graham, MASSAGE THERAPIST
• Brandon Grantham, DDS
• Jordon Greene, PHARMD
• Taylor P Greenhaw, PTA
• Rajan S Grewal, DPT
• Jack Griffin

• Clinical Social Worker in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.