Active NPI
Grace C Kodama, MFT, LPCC
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1881834505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT53442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 497 | CA | MD | Professional Counselor |
| IMF 58306 | CA | MD | Marriage & Family Therapist |
| MFC 53442 | CA | MD | Marriage & 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.