Individual provider Active NPI

Grace Stephenson, AMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1215761887
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
159709 Issued in CA
Practice address
7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408
Phone
(510) 735-0864
Fax
(510) 548-2938
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 159709 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408

Mailing address

97 Vernon St Apt 8
Oakland, CA 94610-4229
Phone (805) 312-1289

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
159709CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Center for Human Growth CurrentSince Sep 1, 2024 Accepting new patients
Pacific Center for Human Growth CurrentSince Sep 1, 2024 Accepting new patients
Bonita House, Inc. CurrentSince Dec 7, 2025 Accepting new patients

Locations

2130 Center St
Ste 200
Berkeley, CA 94704
Phone (510) 548-8283

7200 Bancroft Ave
Ste 267
Oakland, CA 94605
Phone (510) 735-0864

Organizations & group practices 3

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215761887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 VERNON ST APT 8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104229",
            "telephone_number": "805-312-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 267",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052408",
            "telephone_number": "510-735-0864",
            "fax_number": "510-548-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "GRACE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "159709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.