Individual provider Active NPI

Judith Ann Pisarro-Grant, LMFT

  • Marriage & Family Therapist
  • Winston Salem, NC
National Provider Identifier
1174912455
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2066 Issued in NC
Practice address
3447 Robinhood Rd Ste 312
Winston Salem, NC 27106-4791
Phone
(336) 530-2500
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 MFC 19088 CA
Marriage & Family Therapist 106H00000X 2066 NC Primary

Addresses

Primary practice location

3447 Robinhood Rd Ste 312
Winston Salem, NC 27106-4791

Mailing address

3447 Robinhood Rd Ste 312
Winston Salem, NC 27106-4791
Phone (818) 884-7784

Other practice location 1

21243 Ventura Blvd Ste 205
Woodland Hills, CA 91364-2157
Phone (818) 884-7784

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address judy.pisarro-grant@jpisarrograntmft.com Health Information Exchange (HIE)

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
MFC 19088CAMDMarriage & Family Therapist
2066NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1174912455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 ROBINHOOD RD STE 312",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064791",
            "telephone_number": "818-884-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 ROBINHOOD RD STE 312",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064791",
            "telephone_number": "336-530-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21243 Ventura Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642157",
            "country_code": "US",
            "telephone_number": "818-884-7784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISARRO-GRANT",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 19088",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judy.pisarro-grant@jpisarrograntmft.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3447 Robinhood Rd Ste 312",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271064791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.