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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIMRA GARDLEY
NPI 1164898078
Marriage & Family Therapist in Gardena, CA

Active since August 14, 2015PECOS Enrolled
15519 CRENSHAW BLVD, GARDENA, CA 90249(310) 679-9126(310) 679-2620 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2019, May 18, 2018 (2 updates tracked since 2018).

About Nimra Gardley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIMRA GARDLEY (NPI 1164898078) is an individual marriage & family therapist in Gardena, California, licensed in California (LMFT97371) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164898078
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNIMRA GARDLEY
Location Address15519 CRENSHAW BLVDGardena, CA 90249-4525
Mailing Address11276 Phillippi AvePacoima, CA 91331-1519 · (818) 207-6485
Phone(310) 679-9126
Fax(310) 679-2620
Sole ProprietorNo
Enumeration DateAugust 14, 2015
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1164898078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT97371✔ Licensed in CA · IMF79180
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
15519 CRENSHAW BLVD, Gardena, CA 90249
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118646 Oxnard StTarzana, CA 91356 · Phone (818) 996-1051 ext. 1008
Location 21334 Lincoln BlvdSanta Monica, CA 90401-1730 · Phone (310) 314-6200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nimra Gardley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nimra Gardley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clare Matrix
12 mi
Community/Behavioral Health
1002 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1063878510 (310) 314-6200
Grow Healthcare Group PC
311 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANDRE DICKERSON
Peer Specialist
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-2730
MS. CELIA MARIE ARAGON
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
KERI LI LAWRENCE
Social Worker
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CHERISE STEPHENS
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
REGINA LORRAINE SANCHEZ SUDRC21439
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9031
KERRY DEENEY
Social Worker (Clinical)
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 363-3661
ADRIANA PASCACIO
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CRYSTAL LYNN MCGHEE
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (562) 218-8387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nimra Gardley's NPI number?

The NPI number for Nimra Gardley is 1164898078. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Nimra Gardley located?

Nimra Gardley practices at 15519 Crenshaw Blvd, Gardena, CA 90249. The listed phone number is (310) 679-9126.

What is Nimra Gardley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nimra Gardley enrolled in Medicare?

Yes. Nimra Gardley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nimra Gardley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nimra Gardley reassigns Medicare benefits to 2 organizations: Clare Matrix (Santa Monica, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nimra Gardley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nimra Gardley was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.