Keziah Grindeland, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61462255 Issued in WA

Practice address

9715 S 248TH St Apt D11
Kent, WA 98030-5162

Phone

(909) 616-5736

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1508638354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 S 248TH ST APT D11",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 S 248TH ST APT D11",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305162",
            "telephone_number": "909-616-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDELAND",
        "first_name": "KEZIAH",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61462255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaspinder Singh Grewal
• Mandeep Grewal, RN
• Darnell Eugene Griffen, LICSW
• Arlene Renee Griffith
• Marseille Grimaldi
• Krella-Ludesh Griswold, LMT, RT(R)
• Laura Cristina Gron
• Trae Azareah Groshong, LMP
• Susan B Gross, FNP-BC
• Emilyn Faith Hearldson Grossguth

• Marriage & Family Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.