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

Michelle Lee Greydanus

Individual provider Mental Health Counselor · NPI 1477248300

Michelle Lee Greydanus is a Mental Health Counselor in Willmar, Minnesota. Qualified in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

201 28th Ave SW
Willmar, MN 56201-5241
Phone: (320) 214-8558
Fax: (320) 235-2733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1477248300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing addressPo Box 337, Raymond, MN 56282-0337

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Willmar