Organization Active NPI

Growth Rings Relationship & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1063970150
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GROWTH RINGS RELATIONSHIP & FAMILY THERAPY, INC.
Practice address
4405 W Riverside Drive
Ste 205
Burbank, CA 91505-4050
Phone
(818) 825-4904
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Dr. Gregory Allen Walston, PHD, LMFT, CORPNPI 1073646626
Title
President/Ceo and Lead Clinican
Phone
(818) 825-4904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4405 W Riverside Drive
Ste 205
Burbank, CA 91505-4050

Mailing address

4405 W Riverside Drive
Ste 205
Burbank, CA 91505-4050
Phone (818) 825-4904

Other practice location 1

1224 E Avenue S Ste E
Palmdale, CA 93550-6180
Phone (818) 825-4904

Other identifiers 1

IdentifierTypeStateIssuer
1073646626OtherCANPI

National Provider Directory

National Provider Directory

Locations

4405 W Riverside Dr
Ste 206
Burbank, CA 91505
Phone (310) 717-2837

1224 E Avenue S
Ste E
Palmdale, CA 93550
Phone (818) 825-4904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1063970150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DRIVE",
            "address_2": "STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-825-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DRIVE",
            "address_2": "STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-825-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 E Avenue S Ste E",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935506180",
            "country_code": "US",
            "telephone_number": "818-825-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWTH RINGS RELATIONSHIP & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "WALSTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO AND LEAD CLINICAN",
        "authorized_official_telephone_number": "818-825-4904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT, CORP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073646626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.