Healthcare Provider Details

I. General information

NPI: 1831013614
Provider Name (Legal Business Name): CECELIA GREVE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N MUR LEN RD STE 3
OLATHE KS
66062-5416
US

IV. Provider business mailing address

30125 W 187TH ST APT 816
GARDNER KS
66030-9274
US

V. Phone/Fax

Practice location:
  • Phone: 913-214-2022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05514
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: