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Allyn Brooke Granade , LPC

Counselor - Professional β€’ Springfield, OR

Active NPI 1790287043 Individual Practitioner Female Practitioner
Practice location in NPPES

387 65th St
Springfield, OR 974787067

Call 5412912716 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

387 65th St

Springfield, OR 974787067

Telephone 5412912716
Organization at the Same NPPES Address or Phone
Pratibha Shulamit Eastwood, Phd, Inc. Facility NPI 1336335918

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Medford, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Oregon

29 active clinicians are listed under Counselor - Professional with a practice address in Springfield, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 29 clinicians have the CMS telehealth indicator.

0% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C4792
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2000 Oakwood Dr

Medford, OR 975047633

Phone: 5416906706

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 04, 2024

Registered at 387 65TH ST, SPRINGFIELD, OR 974787067 (Tel: 5412912716)

πŸ“
Updated Business Mailing Address September 04, 2024

Registered at PO BOX 2022, WHITE CITY, OR 975030022 (Tel: 5412344781)

βœ…
NPI Profile Active March 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2018

Registered at 2000 OAKWOOD DR, MEDFORD, OR 975047633 (Tel: 5416906706)

πŸ“
Business Mailing Address (Initial Record) March 02, 2018

Registered at PO BOX 503010, WHITE CITY, OR 975030813

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2018

Recorded as ALLYN GRANADE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2018

Counselor (license number reported to NPPES: OR C4792)

🟒
Initial NPI Registration & Enumeration March 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790287043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2018
Last Update: September 04, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 2022

White City, OR 975030022

Phone: 5412344781

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.