Active NPI
Judith Ann Pisarro-Grant, LMFT
- Marriage & Family Therapist
- Winston Salem, NC
National Provider Identifier
1174912455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 19088 | CA | MD | Marriage & Family Therapist |
| 2066 | NC | MD | Marriage & 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.