MADISON GRUENEWALD MA, LADC
NPI 1821524497
Counselor - Professional in Shoreview, MN
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About MADISON GRUENEWALD
This page provides the complete NPI Profile along with additional information for Madison Gruenewald, a provider established in Shoreview, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1821524497 assigned on May 2017. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1821524497 Verify this NPI
- Provider Name
- MADISON GRUENEWALD MA, LADC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4570 CHURCHILL ST STE 300 SHOREVIEW, MN 55126
- Location Phone
- (651) 313-8080
- Mailing Address
- 1370 MENDOTA HEIGHTS RD MENDOTA HEIGHTS, MN 55120
- Mailing Phone
- (651) 313-8080
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-02-2017
- Last Update Date
- 12-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 304326 (MN) |
Medicare Participation & PECOS Enrollment Status
Madison Gruenewald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821524497, enumerated as an "individual" on May 02, 2017.
The provider is located at 4570 CHURCHILL ST STE 300 SHOREVIEW, MN 55126 and the phone number is (651) 313-8080.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
