Cheryl Robin Grenville, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48130 Issued in CA

Practice address

30101 Agoura CT Ste 204
Agoura Hills, CA 91301-4341

Phone

(818) 326-3003

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 3, 2024 through Jan 3, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1205050713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17133 LANARK ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061042",
            "telephone_number": "818-326-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014341",
            "telephone_number": "818-326-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENVILLE",
        "first_name": "CHERYL",
        "middle_name": "ROBIN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crgren@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30101 Agoura Ct Ste 204",
            "city": "Agoura Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913014341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Grannis, MFTI 73996
• Tracy T Grant, PPS
• W. Christopher Grant, PHD
• Richard Gregory, MPSA, PA-C
• Becky Lynn Grenfell, LPCC
• Lusine Grigorian, PHARMD
• Violeta Guia
• Guided Care Inc.
• Kathryn Star Gutierrez, PH.D PSYCHOLOGY
• Sydney Elizabeth Hafer, MA

• Marriage & Family Therapist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.