ROBERT GRANQUIST (MA, LPCC) – Professional Counselor, NPI 1235764895

ROBERT GRANQUIST (MA, LPCC) is a healthcare provider. based in Northfield, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC. They hold a License No. 2417 (MN). The NPI Number for ROBERT GRANQUIST (MA, LPCC) is 1235764895

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT GRANQUIST (MA, LPCC)
NPI
1235764895
Phone
(301) 301-3412
Address
570 PROFESSIONAL DRIVE
Enumeration Date
4 March 2020
Last Update Date
4 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073013412
Graduation Year
2016 (10 years ago)
PAC ID
2961947130
Group Practice PAC ID
8628409299
Professional Enrollment ID
I20240711002934
Address ID
MN550572756NO570XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for ROBERT GRANQUIST (MA, LPCC)

  • 570 PROFESSIONAL DRIVE

    NORTHFIELD, MN 55057

    Phone: (301) 301-3412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240711002934IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628409299View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorFL
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I verify ROBERT GRANQUIST (MA, LPCC) with an NPI only?
You can start verification with NPI 1235764895 for ROBERT GRANQUIST (MA, LPCC), then check state licensing separately.
Is ROBERT GRANQUIST (MA, LPCC) still practicing?
ROBERT GRANQUIST (MA, LPCC) is currently listed as active in the public NPI registry.
What taxonomy line describes ROBERT GRANQUIST (MA, LPCC)?
For research purposes, treat ROBERT GRANQUIST (MA, LPCC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ROBERT GRANQUIST (MA, LPCC) on a map?
Expect Northfield, Minnesota as a primary anchor for ROBERT GRANQUIST (MA, LPCC) unless the record lists multiple sites.
Why does ROBERT GRANQUIST (MA, LPCC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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