LUANN GRAVELLE (NPI# 1669036968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669036968 |
| Entity Type | Individual |
| Full Name | LUANN GRAVELLE |
| Credential | CFPS |
| Practice Address |
112 Highway 371 S Hackensack MN 56452-2638 |
| Mailing Address |
853 28th Ave Sw Backus MN 56435-2328 |
| Practice Telephone | 2186755101 |
| Mailing Telephone | 6129405505 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
112 HIGHWAY 371 S |
| City | HACKENSACK |
| State | MN |
| Zip Code | 56452-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861978553 | Bryana Cook | Social Worker | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2018-07-16 |
| 1780248807 | Sue Ann Stewart | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528541729 | Paula Marie Schroeder | Social Worker | 112 Mn-371, Hackensack, MN 56452 | 2018-09-13 |
| 1598215295 | Faith In Action for Cass County | Voluntary or Charitable | 120 Whipple Ave E, Suite B, Hackensack, MN 56452 | 2016-10-06 |
| 1134521321 | Christine Marie Davis | Counselor | 122 1st St N, Hackensack, MN 56452 | 2014-09-19 |
| 1164786398 | Carol Ellen Horsager | Marriage & Family Therapist | 122 First Street North, Hackensack, MN 56452 | 2012-07-03 |
| 1770669665 | Linnea Frances Dietrich | Marriage & Family Therapist | 122 1st St. N., Hackensack, MN 56452 | 2006-10-31 |
| 1073997128 | Kate Jodell Beaman Friesner | Marriage & Family Therapist | 122 First Street North, Hackensack, MN 56452 | 2015-07-17 |
| 1750699914 | Barbara Ann Clemens | Nurse Practitioner | 110 3rd St S, Hackensack., MN 56452 | 2010-09-21 |
| 1386802866 | Julie A Malnati | Physician Assistant | 110 3rd St S, Hackensack, MN 56452 | 2008-05-30 |
| 1275539900 | Lee-ann Charlene Marchwick | Chiropractor | 3065 State 371 Nw 2, Hackensack, ME 56452-0004 | 2005-06-27 |
| 1760646715 | Birch Lake Counseling LLC | Clinic/Center | 122 1st St. N., Hackensack, MN 56452-0471 | 2008-07-17 |
| Find all providers in zip 56452 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780248807 | Sue Ann Stewart | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152767 | Sara Eigenheer | Peer Specialist | 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 | 2020-10-19 |
| 1225636459 | Melanie Joann Wettstein | Peer Specialist | 5027 Evergreen Dr N Unit 3, Hugo, MN 55038-8578 | 2020-10-10 |
| 1184274904 | Twin Cities Recovery Project Inc | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-09-13 |
| 1821556614 | Minnesota Recovery Connection | Peer Specialist | 2446 University Ave W Ste 112, Saint Paul, MN 55114-1740 | 2019-03-11 |
| 1720527872 | Kerry Leno | Peer Specialist | 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | 2017-02-21 |
| 1265890073 | Miles Hamlin-zamojski | Peer Specialist | 3800 Aldrich Ave S, Apt 2, Minneapolis, MN 55409-1027 | 2016-02-08 |
| 1992347694 | Peter Green | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-10-14 |
| 1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
| 1285197756 | Beyond Brink | Peer Specialist | 314 Chestnut St, Mankato, MN 56001-3032 | 2019-04-10 |
| City | HACKENSACK |
| Zip Code | 56452 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.