Grace Lagerstrom, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118377 Issued in CA

Practice address

5333 Nelle PL
Fair Oaks, CA 95628-3940

Phone

(530) 507-8388

NPI assigned

Aug 20, 2015

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

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1801262191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 NELLE PL",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 NELLE PL",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283940",
            "telephone_number": "530-507-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Auburn Blvd",
            "address_2": "Unit C206",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212069",
            "country_code": "US",
            "telephone_number": "530-507-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGERSTROM",
        "first_name": "GRACE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek J. Kolander, DDS
• Julianna Elaine Krill, DPT
• Kristi Alexander D.D.S., Inc.
• Hayley Kull
• Danielle Lafrance
• Cody Lane
• Jeff Louis Lane, LPT
• Janelle Lanfair
• Charisse Lantaya
• Selina Laqui

• Marriage & Family Therapist in Fair Oaks, CA
• Providers in Fair Oaks, 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 Dec 3, 2020; 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.