Active NPI
Stephanie Nicole Mellor-Gravatt
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1588924005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 564 Rio Lindo Ave
Chico, CA 95926-1852 - Phone
- (530) 879-3795
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
564 Rio Lindo Ave
Chico, CA 95926-1852
Mailing address
169 Mason St Ste 300
Ukiah, CA 95482-4483
Phone (707) 463-3300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1588924005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MASON ST STE 300",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824483",
"telephone_number": "707-463-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261852",
"telephone_number": "530-879-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLOR-GRAVATT",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.