Individual provider Active NPI

Grace Marion Parker-Guerrero, MA, AMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1457055808
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136335 Issued in CA
Practice address
1250 Pine St Ste 100
Walnut Creek, CA 94596-3633
Phone
(925) 718-6440
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 136335 CA Primary

Addresses

Primary practice location

1250 Pine St Ste 100
Walnut Creek, CA 94596-3633

Mailing address

2930 Domingo Ave # 1257
Berkeley, CA 94705-2454

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
136335CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1457055808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 DOMINGO AVE # 1257",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE ST STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963633",
            "telephone_number": "925-718-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-GUERRERO",
        "first_name": "GRACE",
        "middle_name": "MARION",
        "credential": "MA, AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 29, 2023; 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.