Gather and Grow Marriage and Family Therapy, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GATHER AND GROW MARRIAGE AND FAMILY THERAPY, INC.

Doing business as

Gather & Grow OC

Practice address

601 E Chapman Ave
Fullerton, CA 92831-3803

Phone

(714) 600-9762

NPI assigned

Sep 18, 2019

Last updated

Sep 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline PlanteNPI 1043551583

Title

Ceo

Phone

(714) 403-6421

Specialties & licenses 3

Addresses

Other names 1

• Gather & Grow OC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Cara Plante

  • Mental Health Counselor
  • Glendora, CA
  • NPI 1043551583
  NPD (past) Authorized official
• Traci F Medeiros, LMFT

  • Marriage & Family Therapist
  • Fullerton, CA
  • NPI 1235676339
  NPD
• Viridiana Rodriguez

  • Clinical Social Worker
  • Orange, CA
  • NPI 1760021943
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1255981544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313803",
            "telephone_number": "714-600-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313803",
            "telephone_number": "714-600-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHER AND GROW MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PLANTE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-403-6421"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gather & Grow OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole C Garza
• Tiara Gassoway
• Stephanie Gast
• Lisette Areli Gastelum
• Irene Baniaga Mills Gatchalian
• Khalia Gatlin
• Ashley Gauderman, OD
• Gaurav K Goswami, M.D., Inc.
• Magdalena Gaza
• Michael Scott Gazzaniga, MD

• Mental Health Counselor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.