Organization Active NPI

Living Grace Christian Community Counseling Ministry

  • Marriage & Family Therapist
  • Alhambra, CA
National Provider Identifier
1265761530
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT44880 Issued in CA
Legal business name
LIVING GRACE CHRISTIAN COMMUNITY COUNSELING MINISTRY
Practice address
108 S 1St St
Alhambra, CA 91801-3703
Phone
(626) 281-9280
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Mr. Sam NG
Title
Director
Phone
(626) 281-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT44880 CA Primary

Addresses

Primary practice location

108 S 1St St
Alhambra, CA 91801-3703

Mailing address

108 S 1St St
Alhambra, CA 91801-3703

National Provider Directory

National Provider Directory

Locations

108 S 1st St
Alhambra, CA 91801
Phone (626) 281-9280

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1265761530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 1ST ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 1ST ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013703",
            "telephone_number": "626-281-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING GRACE CHRISTIAN COMMUNITY COUNSELING MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-281-9280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT44880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.