Individual provider Active NPI

Elizabeth Ann Grant

  • Marriage & Family Therapist
  • Quincy, CA
National Provider Identifier
1881925444
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF74322 Issued in CA
Practice address
711 E. Main Street
Quincy, CA 95971
Phone
(530) 283-2735
Fax
(530) 283-3647
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X IMF74322 CA Primary

Addresses

Primary practice location

711 E. Main Street
Quincy, CA 95971

Mailing address

711 E. Main Street
711 E. Main Street
Quincy, CA 95971
Phone (530) 283-2735

Other names 1

  • Beth Ann Grant Other name

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
I20260521001592 CA Practitioner - Marriage and Family Therapist 8527537307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Plumas Health Care DistrictGroup PAC ID 4587576889, 31 clinicians

Practice addresses (Care Compare)

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF74322CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas Rural Services Marriage & Family Therapist Past Accepting new patients
Plumas Rural Services Past Accepting new patients

Organizations & group practices 3

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1881925444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E. MAIN STREET",
            "address_2": "711 E. MAIN STREET",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-2735",
            "fax_number": "530-283-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E. MAIN STREET",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-2735",
            "fax_number": "530-283-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF74322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GRANT",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.