Individual provider Active NPI

Rachel Marie Gren, LMFT

  • Marriage & Family Therapist
  • Coarsegold, CA
National Provider Identifier
1629339528
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
35686 Highway 41 Ste C
Coarsegold, CA 93614-8744
Phone
(559) 586-0881
NPI assigned
Jun 6, 2012
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Marriage & Family Therapist 106H00000X 110765 CA
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

35686 Highway 41 Ste C
Coarsegold, CA 93614-8744

Mailing address

PO Box 1421
North Fork, CA 93643-1421
Phone (559) 586-0881

Other practice location 1

5362 Lemee Ln
Mariposa, CA 95338-9556
Phone (209) 966-2000 ext. 866

Other names 1

  • Mrs. Rachel Marie Binning Former name

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
I20240206004115 CA Practitioner - Marriage and Family Therapist 8628411691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110765CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp CurrentSince Jan 1, 2024 Accepting new patients

Locations

16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279

980 9th St
Sacramento, CA 95814

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006

2450 Colorado Ave
Santa Monica, CA 90404

3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 393-4000

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1629339528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1421",
            "city": "NORTH FORK",
            "state": "CA",
            "postal_code": "936431421",
            "telephone_number": "559-586-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35686 HIGHWAY 41 STE C",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936148744",
            "telephone_number": "559-586-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5362 Lemee Ln",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953389556",
            "country_code": "US",
            "telephone_number": "209-966-2000 x866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREN",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110765",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BINNING",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coarsegold, CA

Sources for this page

Verify at the official NPI Registry.