Individual provider Active NPI

Anissa Tara Anna House-Grasley, LMFT

  • Marriage & Family Therapist
  • Rochester, NY
National Provider Identifier
1174039176
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001240 Issued in NY
Practice address
2075 Scottsville Rd
Rochester, NY 14623-2021
Phone
(585) 654-4456
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT5126 FL
Marriage & Family Therapist 106H00000X 001240 NY Primary

Addresses

Primary practice location

2075 Scottsville Rd
Rochester, NY 14623-2021

Mailing address

2075 Scottsville Rd
Rochester, NY 14623-2021
Phone (585) 654-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241028000704 NY Practitioner - Marriage and Family Therapist 6709319932 Reassigns benefits to 3 organizations
I20260612000205 FL Practitioner - Marriage and Family Therapist 6709319932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical of New York PCGroup PAC ID 2567931306, 9 clinicians
Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (240) 200-0173

2263 James St
Suite 523
Syracuse, NY 13206-3262
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT5126FLMDMarriage & Family Therapist
001240NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Hillside Childrens Center Marriage & Family Therapist Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 5

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1174039176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232021",
            "telephone_number": "585-654-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232021",
            "telephone_number": "585-654-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE-GRASLEY",
        "first_name": "ANISSA",
        "middle_name": "TARA ANNA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5126",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.