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MADISON GRUENEWALD MA, LADC
NPI 1821524497
Counselor - Professional in Shoreview, MN

Active since May 02, 2017PECOS Enrolled
4570 CHURCHILL ST STE 300, SHOREVIEW, MN 55126(651) 313-8080 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Gruenewald Ma, Ladc NPPES

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

MADISON GRUENEWALD MA, LADC (NPI 1821524497) is an individual professional provider in Shoreview, Minnesota and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821524497
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMADISON GRUENEWALDCredential: MA, LADC
Location Address4570 CHURCHILL ST STE 300Shoreview, MN 55126-2274
Mailing Address1370 Mendota Heights RdMendota Heights, MN 55120-1281 · (651) 313-8080
Phone(651) 313-8080
Sole ProprietorNo
Enumeration DateMay 2, 2017
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1821524497 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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304326 (MN)
4570 CHURCHILL ST STE 300, Shoreview, MN 55126
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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)

Madison Gruenewald Ma, Ladc 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.

Other Providers at the Same Location NPPES 5

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

RILEY ENGSTROM MA, LPCC, LADC
Counselor (Professional)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080
ROGER LEE BURTRAW III PT
Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 481-1071
MARK ROBERT WILCOX DPT
Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 481-1071
REBEKAH HUFF
Counselor (Mental Health)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080
JAZZMYN GOLDSMITH LMFT
Marriage & Family Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080

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 Madison Gruenewald's NPI number?

The NPI number for Madison Gruenewald is 1821524497. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Madison Gruenewald located?

Madison Gruenewald practices at 4570 Churchill St Ste 300, Shoreview, MN 55126. The listed phone number is (651) 313-8080.

What is Madison Gruenewald's specialty?

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

Is Madison Gruenewald enrolled in Medicare?

Yes. Madison Gruenewald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Gruenewald was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.