Active NPI
Tamara Rae Grayson
- Student in an Organized Health Care Education/Training Program
- Walnut Creek, CA
National Provider Identifier
1336773761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3021 Citrus Cir Ste 105
Walnut Creek, CA 94598-2643 - Phone
- (925) 497-5595
- NPI assigned
- Feb 25, 2020
- Last updated
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC17999 | CA | |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | LPCC17999 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3021 Citrus Cir Ste 105
Walnut Creek, CA 94598-2643
Mailing address
3336 Winthrop St
Concord, CA 94519-2037
Phone (925) 595-5015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC17999 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1336773761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 WINTHROP ST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192037",
"telephone_number": "925-595-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 CITRUS CIR STE 105",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982643",
"telephone_number": "925-497-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "TAMARA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC17999",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC17999",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "computer",
"affiliation": "N",
"endpointDescription": "computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3000 Citrus Cir Ste 220",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945982665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.