GRANT DIETRICH LPCC, LADC
NPI 1750018644
Counselor - Mental Health in Brooklyn Center, MN

Active since August 02, 2022
6040 EARLE BROWN DR STE 100, BROOKLYN CENTER, MN 55430(651) 313-8080 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grant Dietrich Lpcc, Ladc NPPES

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

GRANT DIETRICH LPCC, LADC (NPI 1750018644) is an individual mental health provider in Brooklyn Center, Minnesota, licensed in Minnesota (CC00991) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1750018644
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGRANT DIETRICHCredential: LPCC, LADC
Location Address6040 EARLE BROWN DR STE 100Brooklyn Center, MN 55430-2561
Mailing Address3189 Countryside Ave Unit FWoodbury, MN 55129-7837 · (651) 746-9131
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
NPI 1750018644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC00991
6040 EARLE BROWN DR STE 100, Brooklyn Center, MN 55430

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Marriage & Family Therapist
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Counselor (Mental Health)
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Nurse Practitioner (Psychiatric/Mental Health)
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Marriage & Family Therapist
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430
Social Worker
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Dietrich's NPI number?

The NPI number for Grant Dietrich is 1750018644. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Grant Dietrich located?

Grant Dietrich practices at 6040 Earle Brown Dr Ste 100, Brooklyn Center, MN 55430. The listed phone number is (651) 313-8080.

What is Grant Dietrich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grant Dietrich was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.