Individual provider Active NPI

Katie Greasby, ASSOCIATE MFT

  • Marriage & Family Therapist
  • Anaheim Hills, CA
National Provider Identifier
1801400759
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116306 Issued in CA
Practice address
509 S. Villa Real Dr. #117
Anaheim Hills, CA 92807
Phone
(714) 813-2735
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116306 CA Primary

Addresses

Primary practice location

509 S. Villa Real Dr. #117
Anaheim Hills, CA 92807

Mailing address

6402 Bellinger Dr
Huntington Beach, CA 92647-3338

Other identifiers 1

IdentifierTypeStateIssuer
1568479178MedicaidCA

Other names 1

  • Katie Filiciotto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2026 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116306CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1801400759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 BELLINGER DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S. VILLA REAL DR. #117",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-813-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREASBY",
        "first_name": "KATIE",
        "credential": "ASSOCIATE MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568479178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FILICIOTTO",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim Hills, CA

Sources for this page

Verify at the official NPI Registry.