Individual provider Active NPI

Vessela Grimm

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1497046981
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53481 Issued in CA
Practice address
5221 Zelzah Ave Apt 104
Encino, CA 91316-2114
Phone
(310) 985-3406
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X MFC53481 CA Primary

Addresses

Primary practice location

5221 Zelzah Ave Apt 104
Encino, CA 91316-2114

Mailing address

24699 Fair Oaks LN
Menifee, CA 92584-0353
Phone (310) 985-3406

Other practice location 1

24699 Fair Oaks Ln
Menifee, CA 92584-0353
Phone (310) 985-3406

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

LicenseStateTypeSpecialty
MFC53481CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vessela Grimm Marriage & Family Therapy, Professional Corporation Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1497046981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24699 FAIR OAKS LN",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925840353",
            "telephone_number": "310-985-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 ZELZAH AVE APT 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162114",
            "telephone_number": "310-985-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24699 Fair Oaks Ln",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925840353",
            "country_code": "US",
            "telephone_number": "310-985-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "VESSELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.