Individual provider Active NPI

Kathryn M Grogan, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1043778525
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94190 Issued in CA
Practice address
12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946
Phone
(310) 600-1195
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94190 CA Primary

Addresses

Primary practice location

12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946

Mailing address

12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946
Phone (310) 600-1195

Other practice location 1

11704 Wilshire Blvd Ste 210
Los Angeles, CA 90025-1508
Phone (310) 600-1195

Other practice location 2

3130 Wilshire Blvd Ste 550
Santa Monica, CA 90403-2348
Phone (310) 600-1195

Other names 1

  • Kate M Grogan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kate M Grogan, Marriage and Family Therapy, a Professional Corporation Marriage & Family Therapist Current Accepting new patients

Locations

12011 San Vicente Blvd
Ste 408
Los Angeles, CA 90049
Phone (310) 455-1440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1043778525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-600-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-600-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11704 Wilshire Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251508",
            "country_code": "US",
            "telephone_number": "310-600-1195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Wilshire Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904032348",
            "country_code": "US",
            "telephone_number": "310-600-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "GROGAN",
            "middle_name": "M",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.