Grace Counseling & Psychotherapy Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24462 Issued in CA

Legal business name

GRACE COUNSELING & PSYCHOTHERAPY INC.

Practice address

135 E 3Rd Ave Ste B
Escondido, CA 92025-4252

Phone

(619) 381-8472

NPI assigned

Sep 1, 2016

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Monika Maria Grace, PHD, MDIV, THM

Title

Owner

Phone

(619) 381-8472

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monika-Maria Grace, PH.D.

  • Clinical Psychologist
  • Escondido, CA
  • NPI 1497985832
  Medicare reassignment

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1568919983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BALTIMORE DR",
            "address_2": "UNIT 161",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421616",
            "telephone_number": "619-405-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 3RD AVE STE B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254252",
            "telephone_number": "619-381-8472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2096 Susan Ct",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920261878",
            "country_code": "US",
            "telephone_number": "619-381-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE COUNSELING & PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-381-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MDIV, THM"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY24462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Douglas Gordon
• Dominic Goria
• Christopher Paul Gorman, MD
• Jeffrey I. Gorwit, M.D.
• Peter D Gougov, M.D.
• Leeanna Grace
• Megan Teresa Grace, ATC
• Monika-Maria Grace, PH.D.
• Michele A. Grad, M.D.
• Rachel Elizabeth Graef

• Clinical Psychologist in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.