Active NPI
Jocelyn Marlen Granillo Gallegos
- Marriage & Family Therapist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152634
- Practice address
- 2530 Douglas Blvd Ste 160
Roseville, CA 95661-3991 - Phone
- (916) 400-0505
- NPI assigned
- Nov 15, 2022
- Last updated
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 152634 | CA | Primary |
Addresses
Primary practice location
2530 Douglas Blvd Ste 160
Roseville, CA 95661-3991
Mailing address
2530 Douglas Blvd Ste 160
Roseville, CA 95661-3991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
330 Oxford St
Suite 208B
Chula Vista, CA 91911-3119
Phone (760) 278-3112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152634 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Health & Wellness Center, LLC | Current | Accepting new patients | |
| Calm Waters Counseling, LLC | Current | Accepting new patients |
Locations
330 Oxford St
Ste 208A
Chula Vista, CA 91911
Phone (510) 776-3984
330 Oxford St
Ste 208B
Chula Vista, CA 91911
Phone (760) 278-3112
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1013626357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 DOUGLAS BLVD STE 160",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 DOUGLAS BLVD STE 160",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613991",
"telephone_number": "916-400-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANILLO GALLEGOS",
"first_name": "JOCELYN",
"middle_name": "MARLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
- Billy D Graham, P.A.-C.
- Lindsay Graham, BS SLPA
- Kevin Gramyk, MD
- Granger B Wong M D Inc
- Danielle N Granieri, D.O.
- Granite Bay Surgery Center, LLC
- Granite Pointe Eye Care, Inc., an Optometric Corporation (Foothills Optometry)
- Granite Pointe Eye Care, Inc., an Optometric Corporation
- Granite Spring Care Home I Inc
- Granite Wellness Centers (Roseville Campus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.