CALLIE GRANTHAM LPC, LAC
NPI 1063924140
Counselor - Professional in Kansas City, KS

Q: What is Callie Grantham's NPI number?

The NPI number for Callie Grantham is 1063924140. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Q: What is Callie Grantham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Callie Grantham was last updated on October 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 30, 2017PECOS Enrolled

3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 945-7031(913) 588-8757 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Callie Grantham Lpc, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLIE GRANTHAM LPC, LAC (NPI 1063924140) is an individual professional provider in Kansas City, Kansas, licensed in Kansas (2507) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063924140

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCALLIE GRANTHAMCredential: LPC, LAC

Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500

Mailing Address3901 Rainbow Blvd, Mailstop 4015/addictionsKansas City, KS 66160 · (913) 945-7031 · Fax (913) 588-8757

Phone(913) 945-7031

Fax(913) 588-8757

Sole ProprietorYes

Enumeration DateOctober 30, 2017

✔ NPI 1063924140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in KS · 2507✔ Licensed in MO · 2012032164

3901 RAINBOW BLVD, Kansas City, KS 66160

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie Grantham Lpc, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLI DOUGLAS M.A. CCC-SLP

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