Richard James Gribin, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT38778 Issued in CA

Practice address

12402 Otsego St
Valley Village, CA 91607-3012

Phone

(310) 560-4916

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124547161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 OTSEGO ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073012",
            "telephone_number": "310-560-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 OTSEGO ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073012",
            "telephone_number": "310-560-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBIN",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT38778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.