Active NPI
Gracie Faye Bishop, LMFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1396096111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134941
- Practice address
- 9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236 - Phone
- (310) 564-5400
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 134941 | CA | Primary |
Addresses
Primary practice location
9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236
Mailing address
9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236
Phone (818) 921-2641
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 |
|---|---|---|---|
| 134941 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medens Health | Marriage & Family Therapist | Current | Accepting new patients |
Locations
9713 Santa Monica Blvd
Ste 201
Beverly Hills, CA 90210
Phone (310) 564-5400
Organizations & group practices 1
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": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1396096111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9713 SANTA MONICA BLVD STE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104236",
"telephone_number": "818-921-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9713 SANTA MONICA BLVD STE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104236",
"telephone_number": "310-564-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "GRACIE",
"middle_name": "FAYE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.