Kevin Michael Grace, MSW ASW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

97954 Issued in CA

Practice address

7101 Baird Ave
Reseda, CA 91335-4150

Phone

(818) 342-5897

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Apla Health and WellnessGroup PAC ID 4385875236, shared by 9 NPIs, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEIECA

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

• Apla Health & Wellness

  dba APLA Health & Wellness - David Geffen Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1003230038
  NPD (past)
• Apla Health & Wellness

  dba APLA Health - Michael Gottlieb Health Center

  • Federally Qualified Health Center (FQHC)
  • West Hollywood, CA
  • NPI 1104688795
  NPD (past)
• Apla Health & Wellness

  dba APLA Health - 3741 S. La Brea Ave.

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1225793631
  NPD (past)
• Apla Health & Wellness

  dba APLA Health - Olympic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1245884527
  NPD (past)
• Apla Health & Wellness

  dba APLA Health - CDU/MLK Medical Campus

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1316602725
  NPD (past)
• Apla Health & Wellness

  dba APLA Health & Wellness Center - Baldwin Hills

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1639414139
  NPD (past)
• Apla Health & Wellness

  dba APLA Health - Olympic #310

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1790202968
  NPD (past)
• Apla Health & Wellness

  dba APLA Health & Wellness - Long Beach Center

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1811367709
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1366184129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 W AVENUE 42",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654304",
            "telephone_number": "213-909-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "97954",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Reseda, CA
• Providers in Reseda, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.