Individual provider Active NPI

Alexis Nicole Forrey, LMFT, APCC

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1952833147
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113859 Issued in CA
Practice address
155 Granada St Ste N
Camarillo, CA 93010-7725
Phone
(805) 987-3162
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X 113859 CA Primary

Addresses

Primary practice location

155 Granada St Ste N
Camarillo, CA 93010-7725

Mailing address

390 Mooncrest CT
Newbury Park, CA 91320-5030
Phone (805) 826-1388

Other practice location 1

18226 Ventura Blvd Ste 202
Tarzana, CA 91356-4246
Phone (818) 758-9450

Other names 1

  • Alexis Nicole Grenner Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexis Forrey Marriage and Family Therapy Professional Corporation Marriage & Family Therapist Current Accepting new patients
Atiya Malik Marriage & Family Therapist PastSince Apr 13, 2025 Accepting new patients

Locations

123 Hodencamp Rd
Ste 103
Thousand Oaks, CA 91360
Phone (805) 404-4839

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1952833147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MOONCREST CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205030",
            "telephone_number": "805-826-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST STE N",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107725",
            "telephone_number": "805-987-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18226 Ventura Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564246",
            "country_code": "US",
            "telephone_number": "818-758-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREY",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "LMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "GRENNER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.