Aneeka Marie Gray, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT115383 Issued in CA

Practice address

58923 Business Center Dr Ste E
Yucca Valley, CA 92284-7311

Phone

(760) 365-7209

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lutheran Social Services of Southern California

  • Case Manager/Care Coordinator
  • Yucca Valley, CA
  • NPI 1437555117
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1215573449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR STE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR STE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-365-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANEEKA",
        "middle_name": "MARIE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT115383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.rcdmh.org/",
            "affiliation": "N",
            "address_1": "47825 Oasis St",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922016950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Graham, CCC-SLP
• Tanya Graham
• Mary Louise Grant, NP-F
• Francis J Grauer
• Richard Grauer
• Richard Brian Gray, LMFT
• Jill C Green, R.D.H.
• Latanya J Green
• Charles Robert Greenwood, D.C.
• John Grigg, RPH

• Marriage & Family Therapist in Yucca Valley, CA
• Providers in Yucca Valley, 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 12, 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.