Organization Active NPI

Grace and Growth Family Counseling PC

  • Marriage & Family Therapist
  • Elk Grove, CA
National Provider Identifier
1679460455
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GRACE AND GROWTH FAMILY COUNSELING PC
Practice address
2378 Maritime Dr Ste 100
Elk Grove, CA 95758-3641
Phone
(916) 849-1273
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Andrea C Peterson, MFTNPI 1609146570
Title
Ceo/MFT
Phone
(916) 849-1273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2378 Maritime Dr Ste 100
Elk Grove, CA 95758-3641

Mailing address

2378 Maritime Dr Ste 100
Elk Grove, CA 95758-3641
Phone (916) 849-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260320003216 CA Part B Supplier - Clinic/Group Practice 0749764314 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1679460455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583641",
            "telephone_number": "916-849-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583641",
            "telephone_number": "916-849-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND GROWTH FAMILY COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/MFT",
        "authorized_official_telephone_number": "916-849-1273",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.