Active NPI
Michael Grisham
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1689584153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C030900215P
- Practice address
- 6161 El Cajon Blvd # B237
San Diego, CA 92115-3922 - Phone
- (619) 300-1095
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C030900215P | CA | Primary |
Addresses
Primary practice location
6161 El Cajon Blvd # B237
San Diego, CA 92115-3922
Mailing address
6161 El Cajon Blvd # B237
San Diego, CA 92115-3922
Phone (619) 300-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1689584153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 EL CAJON BLVD # B237",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153922",
"telephone_number": "619-300-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 EL CAJON BLVD # B237",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153922",
"telephone_number": "619-300-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISHAM",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C030900215P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.