Individual provider Active NPI

Paula Grand-Place, LMFT

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1609904416
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45873 Issued in CA
Practice address
110 S C St
Suite C
Lompoc, CA 93436-7340
Phone
(805) 350-1936
Fax
(805) 686-8950
NPI assigned
Mar 1, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45873 CA Primary

Addresses

Primary practice location

110 S C St
Suite C
Lompoc, CA 93436-7340

Mailing address

110 South C Street
Suite C
Lompoc, CA 93436
Phone (805) 350-1936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814001315 CA Practitioner - Marriage and Family Therapist 6608314299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E Hickory Ave
Suite C
Lompoc, CA 93436-7274
Phone (805) 350-1936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winds of Change Marriage and Family Counseling Center, Inc Marriage & Family Therapist CurrentSince May 30, 2024 Accepting new patients

Locations

115 E Hickory Ave
Ste C
Lompoc, CA 93436
Phone (805) 350-1936

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1609904416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH C STREET",
            "address_2": "SUITE C",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-350-1936",
            "fax_number": "805-686-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S C ST",
            "address_2": "SUITE C",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367340",
            "telephone_number": "805-350-1936",
            "fax_number": "805-686-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND-PLACE",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.