Active NPI
Jerriann Elizabeth Grant, MFT
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1942330162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 43370
- Practice address
- 3000 Citrus Cir Ste 235
Walnut Creek, CA 94598-2665 - Phone
- (925) 698-9379
- Fax
- (925) 979-9992
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 43370 | CA | Primary |
Addresses
Primary practice location
3000 Citrus Cir Ste 235
Walnut Creek, CA 94598-2665
Mailing address
3000 Citrus Cir Ste 235
Walnut Creek, CA 94598-2665
Phone (925) 698-9379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43370 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942330162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CITRUS CIR STE 235",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982665",
"telephone_number": "925-698-9379",
"fax_number": "925-979-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CITRUS CIR STE 235",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982665",
"telephone_number": "925-698-9379",
"fax_number": "925-979-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JERRIANN",
"middle_name": "ELIZABETH",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "43370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.