Active NPI
Graceann Frances Walker, LMFT
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1881335594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 131468
- Practice address
- 700 N Pacific Coast Hwy Ste 301
Redondo Beach, CA 90277-2147 - Phone
- (615) 767-3079
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 131468 | CA | Primary |
Addresses
Primary practice location
700 N Pacific Coast Hwy Ste 301
Redondo Beach, CA 90277-2147
Mailing address
700 N Pacific Coast Hwy Ste 301
Redondo Beach, CA 90277-2147
Phone (615) 767-3079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131468 | Other | CA | PRIVATE THERAPIST |
Other names 1
- Miss Gracie Walker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131468 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1881335594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N PACIFIC COAST HWY STE 301",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772147",
"telephone_number": "615-767-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N PACIFIC COAST HWY STE 301",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772147",
"telephone_number": "615-767-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GRACEANN",
"middle_name": "FRANCES",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "131468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE THERAPIST",
"identifier": "131468",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"endpointDescription": "Macbook",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "700 N Pacific Coast Hwy Ste 301",
"city": "Redondo Beach",
"state": "CA",
"country_code": "US",
"postal_code": "902772147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GRACIE",
"last_name": "WALKER",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.