Healthcare Provider Details

I. General information

NPI: 1447168117
Provider Name (Legal Business Name): NATHAN GRABER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W 95TH ST STE 220
OVERLAND PARK KS
66207-2969
US

IV. Provider business mailing address

5750 W 95TH ST STE 220
OVERLAND PARK KS
66207-2969
US

V. Phone/Fax

Practice location:
  • Phone: 913-444-5602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05513
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: