Individual provider Active NPI

Grace C Kodama, MFT, LPCC

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1881834505
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT53442 Issued in CA
Practice address
770 53Rd St
Oakland, CA 94609-1814
Phone
(510) 428-3885
Fax
(510) 450-5876
NPI assigned
Feb 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 58306 CA
Marriage & Family Therapist 106H00000X MFT53442 CA Primary
Professional Counselor 101YP2500X LPC 497 CA
Marriage & Family Therapist 106H00000X MFC 53442 CA

Addresses

Primary practice location

770 53Rd St
Oakland, CA 94609-1814

Mailing address

2201 Shoreline Dr Unit 6013
Alameda, CA 94501-6470
Phone (510) 930-0980

Other practice location 1

3001 International Blvd
Oakland, CA 94601-2203
Phone (510) 930-0980

Other practice location 2

3555 Whipple Rd
Union City, CA 94587-1507
Phone (510) 675-3080

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

LicenseStateTypeSpecialty
LPC 497CAMDProfessional Counselor
IMF 58306CAMDMarriage & Family Therapist
MFC 53442CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1881834505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SHORELINE DR UNIT 6013",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016470",
            "telephone_number": "510-930-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 53RD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091814",
            "telephone_number": "510-428-3885",
            "fax_number": "510-450-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012203",
            "country_code": "US",
            "telephone_number": "510-930-0980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Whipple Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871507",
            "country_code": "US",
            "telephone_number": "510-675-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODAMA",
        "first_name": "GRACE",
        "middle_name": "C",
        "credential": "MFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-21",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 58306",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT53442",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 497",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 53442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.