Individual provider Active NPI

Grace Charlton, LPCC

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1487369708
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13056 Issued in CA
Practice address
8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610
Phone
(619) 345-4611
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13056 CA Primary

Addresses

Primary practice location

8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610

Mailing address

8104 Denali Dr
San Diego, CA 92126-7001
Phone (303) 956-8644

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Steven a. Cohen Military Family Clinic at VVSD, San Diego CurrentSince Jan 22, 2023 Accepting new patients
Open Chair Therapy Current Accepting new patients

Locations

3110 Camino del Rio S
Ste 220
San Diego, CA 92108
Phone (619) 693-8327

8885 Rio San Diego Dr
Ste 301
San Diego, CA 92108
Phone (619) 345-4611

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1487369708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 DENALI DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267001",
            "telephone_number": "303-956-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081610",
            "telephone_number": "619-345-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "GRACE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.