Ashley Grant

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105584 Issued in CA

Practice address

112 Jagla St
Cotati, CA 94931-5407

Phone

(415) 993-0553

NPI assigned

Mar 5, 2018

Reactivated

Aug 20, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1740782812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949310261",
            "telephone_number": "415-993-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JAGLA ST",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949315407",
            "telephone_number": "415-993-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Fell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025147",
            "country_code": "US",
            "telephone_number": "415-310-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "deactivation_date": "2019-08-23",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Quinn Florez
• Victoria Fontanot, NP
• Rebecca Ranz Gilbert
• Sheila Louise Good, CCC-SLP
• Brandon Goodman, BCBA
• Ida Marie Hallgren-Luke, D.C.
• Wesley Joseph Hamper, LMFT
• Faith Harville-Polk
• Wendy Lee Haynes, PT
• Katheen R. Haynie, CMY

• Marriage & Family Therapist in Cotati, CA
• Providers in Cotati, CA by specialty
• Marriage & Family Therapist in California

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