MICHELLE LEE GREYDANUS
NPI 1477248300
Counselor - Professional in Willmar, MN

Q: What is Michelle Greydanus's NPI number?

The NPI number for Michelle Greydanus is 1477248300. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Michelle Greydanus's specialty?

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

Active since April 06, 2023PECOS Enrolled

201 28TH AVE SW, WILLMAR, MN 56201(320) 214-8558(320) 235-2733 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Lee Greydanus NPPES

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

MICHELLE LEE GREYDANUS (NPI 1477248300) is an individual professional provider in Willmar, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477248300

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMICHELLE LEE GREYDANUS

Location Address201 28TH AVE SWWillmar, MN 56201-5241

Mailing AddressPo Box 337Raymond, MN 56282-0337 · (616) 401-6899

Phone(320) 214-8558

Fax(320) 235-2733

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 6, 2023

Last NPPES UpdateApril 7, 2023

NPPES CertifiedApril 7, 2023

✔ NPI 1477248300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

201 28TH AVE SW, Willmar, MN 56201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Lee Greydanus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830669506

PECOS Enrollment IDI20260525000069

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.

Other Providers at the Same Location NPPES 19

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

MRS. BARBARA JEAN NELSON LMFT

Marriage & Family Therapist