Individual provider Active NPI

Kristine J. Grush, LMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1255580387
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37487 Issued in CA
Practice address
9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542
Phone
(310) 829-6707
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37487 CA Primary

Addresses

Primary practice location

9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542

Mailing address

9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542
Phone (310) 829-6707

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
MFC37487CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1255580387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 680",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105542",
            "telephone_number": "310-829-6707",
            "fax_number": "310-273-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 680",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105542",
            "telephone_number": "310-829-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSH",
        "first_name": "KRISTINE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.