Individual provider Active NPI

Alana Smith-Grove, AMFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1063180867
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT126517 Issued in CA
Practice address
1346 4TH St Ste 202
San Rafael, CA 94901-2860
Phone
(415) 326-6354
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 AMFT126517 CA Primary

Addresses

Primary practice location

1346 4TH St Ste 202
San Rafael, CA 94901-2860

Mailing address

333 Colusa Ave
Kensington, CA 94707-1208
Phone (805) 801-9288

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

State licenses

LicenseStateTypeSpecialty
AMFT126517CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters of Marin CurrentSince Sep 12, 2021 Accepting new patients

Locations

1346 4th St
Ste 202
San Rafael, CA 94901
Phone (415) 272-1302

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1063180867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COLUSA AVE",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071208",
            "telephone_number": "805-801-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 4TH ST STE 202",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012860",
            "telephone_number": "415-326-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GROVE",
        "first_name": "ALANA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT126517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.