Active NPI
Lindsey Sara Grattarola
- Marriage & Family Therapist
- Lompoc, CA
National Provider Identifier
1174988034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT125307
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT125307 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Within Therapy, Inc. | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Lompoc, CA
- NPI 1720767791
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.