Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Maxwell Grantier

Individual provider Art Therapist · NPI 1770478091

Kimberly Maxwell Grantier is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025

Practice location Address checks out

5027 36th Ave S
Minneapolis, MN 55417-1516
Phone: (509) 304-4454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 25-077 (MN)

Record details

NPI number1770478091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address5027 36th Ave S, Minneapolis, MN 55417-1516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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