Michelle Larson Graville, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFCC77629 Issued in CA

Practice address

307 S B St Ste 3
San Mateo, CA 94401-4054

Phone

(650) 533-4437

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265575211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S B ST STE 3",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014054",
            "telephone_number": "650-533-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S B ST STE 3",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014054",
            "telephone_number": "650-533-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVILLE",
        "first_name": "MICHELLE",
        "middle_name": "LARSON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77629",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC77629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundeep Grandhe, MD, HMDC, FAAHPM
• Marite Grandovskis
• Alan Grant, DDS
• Brandon Granzella
• Samara Graunke, DO
• Richard Frank Gravina, MD
• Donna Rose Gray, M.S. CCC-SLP
• Kimberly M Gray
• Green Chiropractic Clinic
• Elizabeth Sokolik Green, PSY.D.

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 Jul 21, 2022; 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.