Active NPI
Grace Marie Sakurada, MS, LMFT
- Marriage & Family Therapist
- Willits, CA
National Provider Identifier
1780128793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTI 96796
- Practice address
- 104 W Mendocino Ave
Willits, CA 95490-3412 - Phone
- (916) 879-3054
- NPI assigned
- Dec 9, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTI 96796 | CA | Primary |
Addresses
Primary practice location
104 W Mendocino Ave
Willits, CA 95490-3412
Mailing address
333 Creekside Dr
Willits, CA 95490-3611
Phone (916) 879-3054
Other practice location 1
333 Creekside Dr
Willits, CA 95490-3611
Phone (916) 879-3054
Other practice location 2
169 Mason St Ste 300
Ukiah, CA 95482-4483
Phone (707) 463-3300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 870
Laytonville, CA 95454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI 96796 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Valley Health Center | Current | Accepting new patients |
Locations
50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AECBBA
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1780128793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CREEKSIDE DR",
"city": "WILLITS",
"state": "CA",
"postal_code": "954903611",
"telephone_number": "916-879-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W MENDOCINO AVE",
"city": "WILLITS",
"state": "CA",
"postal_code": "954903412",
"telephone_number": "916-879-3054"
}
],
"practiceLocations": [
{
"address_1": "333 Creekside Dr",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954903611",
"country_code": "US",
"telephone_number": "916-879-3054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Mason St Ste 300",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954824483",
"country_code": "US",
"telephone_number": "707-463-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAKURADA",
"first_name": "GRACE",
"middle_name": "MARIE",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFTI 96796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.