Individual provider Active NPI

Griselda Zermino, MENTAL HEALTH, LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1316552482
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120176 Issued in CA
Practice address
222 W 6TH St Ste 400
San Pedro, CA 90731-3345
Phone
(310) 221-0463
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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 120176 CA Primary

Addresses

Primary practice location

222 W 6TH St Ste 400
San Pedro, CA 90731-3345

Mailing address

PO Box 1977
San Pedro, CA 90733-1977
Phone (424) 327-5356

Other identifiers 1

IdentifierTypeStateIssuer
120176OtherCABBS - LMFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003254 CA Practitioner - Marriage and Family Therapist 8325588213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120176CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trust the Ability Family Counseling a Professional Corporation Marriage & Family Therapist CurrentSince Oct 19, 2024 Accepting new patients
Stepping Stones Family Counseling Marriage & Family Therapist PastSince Sep 1, 2020 Accepting new patients

Locations

222 W 6th St
Ste 400
San Pedro, CA 90731
Phone (310) 221-0463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1316552482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1977",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907331977",
            "telephone_number": "424-327-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 400",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313345",
            "telephone_number": "310-221-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERMINO",
        "first_name": "GRISELDA",
        "name_prefix": "Mrs.",
        "credential": "MENTAL HEALTH, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS - LMFT",
            "identifier": "120176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.