Organization Active NPI

Pride and Grace Family Counseling, Inc.

Doing business as Pride and Grace Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Mateo, CA
National Provider Identifier
1720652654
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRIDE AND GRACE FAMILY COUNSELING, INC.
Doing business as
Pride and Grace Counseling
Practice address
122 2ND Ave Ste 212
San Mateo, CA 94401-3836
Phone
(650) 701-3978
NPI assigned
May 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Authorized official

Name
Priscilla Cheng, LMFTNPI 1558614305
Title
Ceo
Phone
(650) 701-3978

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

122 2ND Ave Ste 212
San Mateo, CA 94401-3836

Mailing address

PO Box 6963
San Mateo, CA 94403-6963

Other names 1

  • Pride and Grace Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

122 2nd Ave
Ste 212
San Mateo, CA 94401
Phone (415) 235-1818

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": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621036800000",
    "number": "1720652654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6963",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944036963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 2ND AVE STE 212",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013836",
            "telephone_number": "650-701-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE AND GRACE FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-701-3978",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pride and Grace Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.