Gweneth Grigsby, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

123475 Issued in CA

Practice address

1730 Palisades Dr
Pacific Palisades, CA 90272-2115

Phone

(650) 804-4229

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1306502893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST # 195",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723603",
            "telephone_number": "310-363-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PALISADES DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722115",
            "telephone_number": "650-804-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "GWENETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Scranton Gordon I, LMFT
• Carol Ann Gordon, BSC OT
• Lynn Goren, PHD.
• Julie Caroline Graham
• Gary Alan Green, MD
• Rafael Gurvis, DDS
• Elizabeth Ann Halliday, PHD
• Marcella B. Hardart, MD
• Joseph A Hardwick, M.D.
• Anne Catherine Harrington, MSN, APRN, AGACNP-BC

• All providers in Pacific Palisades, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.