Individual provider Active NPI

Kailee Anne Groscost

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1831745298
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147133 Issued in CA
Practice address
3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone
(562) 490-7600
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 147133 CA Primary
Marriage & Family Therapist 106H00000X 129973 CA

Addresses

Primary practice location

3545 Long Beach Blvd
Long Beach, CA 90807-3941

Mailing address

3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone (562) 490-7600

Other practice location 1

18350 Mount Langley St
Fountain Valley, CA 92708-6900
Phone (714) 378-2620

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913003601 CA Practitioner - Marriage and Family Therapist 2668912833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129973CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Childnet Youth and Family Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Kamala Thomas Psychological Services Corp CurrentSince Sep 4, 2024 Accepting new patients
Childrens Learning Connection, LLC PastSince Aug 1, 2019 Accepting new patients
New Alternatives, Inc PastSince Nov 1, 2021 Accepting new patients
Allyson Wells MD Inc PastSince Aug 1, 2022 Accepting new patients

Locations

15635 Alton Pkwy
Ste 350
Irvine, CA 92618
Phone (949) 528-6300

3545 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 498-5500

5150 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90804

Organizations & group practices 6

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1831745298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073941",
            "telephone_number": "562-490-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073941",
            "telephone_number": "562-490-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18350 Mount Langley St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086900",
            "country_code": "US",
            "telephone_number": "714-378-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSCOST",
        "first_name": "KAILEE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147133",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.