Organization Active NPI

Vessela Grimm Marriage & Family Therapy, Professional Corporation

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1841095973
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
VESSELA GRIMM MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION
Practice address
5221 Zelzah Ave Apt 104
Encino, CA 91316-2114
Phone
(310) 985-3406
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Vessela GrimmNPI 1497046981
Title
Practice Owner
Phone
(310) 985-3406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5221 Zelzah Ave Apt 104
Encino, CA 91316-2114

Mailing address

24699 Fair Oaks LN
Menifee, CA 92584-0353
Phone (310) 985-3406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1841095973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24699 FAIR OAKS LN",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925840353",
            "telephone_number": "310-985-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 ZELZAH AVE APT 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162114",
            "telephone_number": "310-985-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESSELA GRIMM MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "VESSELA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "310-985-3406"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.