MARK GRANNEMANN
NPI 1750812152
Counselor - Mental Health in Tumwater, WA

Active since March 27, 2017
6128 CAPITOL BLVD SE, TUMWATER, WA 98501(360) 704-7170 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2020, Mar 27, 2017 (2 updates tracked since 2017).

About Mark Grannemann NPPES

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

MARK GRANNEMANN (NPI 1750812152) is an individual mental health provider in Tumwater, Washington, licensed in Washington (CG60154298) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1750812152
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK GRANNEMANN
Location Address6128 CAPITOL BLVD SETumwater, WA 98501-5271
Mailing Address921 14th AveLongview, WA 98632-2316 · (360) 423-0203 · Fax (360) 577-0269
Sole ProprietorNo
Enumeration DateMarch 27, 2017
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
NPI 1750812152 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 WA · CG60154298
6128 CAPITOL BLVD SE, Tumwater, WA 98501

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Community/Behavioral Health
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Mental Health)
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Mental Health)
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Mental Health)
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
6128 CAPITOL BLVD SE
TUMWATER, WA 98501
Counselor (Addiction (Substance Use Disorder))
6128 CAPITOL BLVD SE
TUMWATER, WA 98501

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 Mark Grannemann's NPI number?

The NPI number for Mark Grannemann is 1750812152. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Mark Grannemann located?

Mark Grannemann practices at 6128 Capitol Blvd SE, Tumwater, WA 98501. The listed phone number is (360) 704-7170.

What is Mark Grannemann'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 Mark Grannemann was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.