Individual provider Active NPI

Lindsey Sara Grattarola

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1174988034
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT125307 Issued in CA
Practice address
115 E Hickory Ave Ste C
Lompoc, CA 93436-7274
Phone
(805) 868-7980
NPI assigned
Dec 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X LMFT125307 CA Primary

Addresses

Primary practice location

115 E Hickory Ave Ste C
Lompoc, CA 93436-7274

Mailing address

616 Crescent Ave
Santa Maria, CA 93455-4937

Other practice location 1

616 Crescent Ave
Santa Maria, CA 93455-4937
Phone (805) 868-7980

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
LMFT125307CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Within Therapy, Inc. Marriage & Family Therapist CurrentSince Jul 23, 2023 Accepting new patients

Locations

115 E Hickory Ave
Ste E
Lompoc, CA 93436
Phone (469) 269-2101

Organizations & group practices 1

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": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1174988034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CRESCENT AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HICKORY AVE STE C",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367274",
            "telephone_number": "805-868-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934554937",
            "country_code": "US",
            "telephone_number": "805-868-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATTAROLA",
        "first_name": "LINDSEY",
        "middle_name": "SARA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT125307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.