Active NPI
Kimberly Griggs, PSYD. LMFT
- Marriage & Family Therapist
- Corona, CA
National Provider Identifier
1992906457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84749
- Practice address
- 8192 Sanctuary Dr
Corona, CA 92883-5954 - Phone
- (909) 360-1967
- Fax
- (909) 751-5546
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84749 | CA | |
| Professional Counselor | 101YP2500X | 84749 | CA | |
| Adult Mental Health Clinic/Center | 261QM0850X | 84749 | CO | |
| Marriage & Family Therapist | 106H00000X | 84749 | CA | Primary |
Addresses
Primary practice location
8192 Sanctuary Dr
Corona, CA 92883-5954
Mailing address
8192 Sanctuary Dr
Corona, CA 92883-5954
Phone (909) 229-7056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992906457 | Medicaid | CA |
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 |
|---|---|---|---|
| 84749 | CO | MD | Adult Mental Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1992906457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8192 SANCTUARY DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928835954",
"telephone_number": "909-229-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8192 SANCTUARY DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928835954",
"telephone_number": "909-360-1967",
"fax_number": "909-751-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PSYD. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "84749",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "84749",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CO",
"license": "84749",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992906457",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.