Organization Active NPI

Grace Bridge Family Counseling Services, PC

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1497491203
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GRACE BRIDGE FAMILY COUNSELING SERVICES, PC
Practice address
39755 Murrieta Hot Springs Rd Ste D160
Murrieta, CA 92563-9113
Phone
(951) 294-5393
Fax
(951) 257-1071
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Mrs. Danielle Lynann Cisneros, LMFTNPI 1720263528
Title
Owner
Phone
(951) 294-5393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

39755 Murrieta Hot Springs Rd Ste D160
Murrieta, CA 92563-9113

Mailing address

39755 Murrieta Hot Springs Rd Ste D160
Murrieta, CA 92563-9113
Phone (951) 294-5393

National Provider Directory

National Provider Directory

Locations

39755 Murrieta Hot Springs Rd
Ste D160
Murrieta, CA 92563
Phone (951) 295-7038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1497491203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD STE D160",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639113",
            "telephone_number": "951-294-5393",
            "fax_number": "951-257-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD STE D160",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639113",
            "telephone_number": "951-294-5393",
            "fax_number": "951-257-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BRIDGE FAMILY COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LYNANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-294-5393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.