JOHN GRANGER NPI 1093352288

NPI Information

NPI: 1093352288
Provider Name: JOHN GRANGER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6818 GROVER ST STE 301
OMAHA, NE
ZIP 68106
Phone: (531) 466-2326
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John Granger is a mental health counselor in Omaha, NE. John Granger NPI is 1093352288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6818 GROVER ST STE 301
OMAHA, NE
ZIP 68106-632
Phone: (531) 466-2326
Fax: (531) 772-0266

The enumeration date for this NPI number is 12/6/2019 and was last updated on 8/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1326	NEBRASKA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20008	IOWA	No
3	101YM0800X	Counselor	Mental Health	099193	IOWA	No
4	101YM0800X	Counselor	Mental Health	2008	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10027158400	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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