CHANEL RUTH GRANT LMFT
NPI 1205129020
Marriage & Family Therapist in Vista, CA

Q: What is Chanel Grant's NPI number?

The NPI number for Chanel Grant is 1205129020. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Q: What is Chanel Grant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chanel Grant was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 26, 2011PECOS Enrolled

780 SHADOWRIDGE DR, VISTA, CA 92083(833) 579-4848(760) 599-2399 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Chanel Ruth Grant Lmft NPPES

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

CHANEL RUTH GRANT LMFT (NPI 1205129020) is an individual marriage & family therapist in Vista, California, licensed in California (LMFT90860) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205129020

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCHANEL RUTH GRANTCredential: LMFT

Location Address780 SHADOWRIDGE DRVista, CA 92083-7986

Mailing Address780 Shadowridge DrVista, CA 92083-7986 · (833) 579-4848 · Fax (760) 599-2399

Phone(833) 579-4848

Fax(760) 599-2399

Sole ProprietorYes

Enumeration DateMay 26, 2011

Last NPPES UpdateMay 22, 2025

NPPES CertifiedMay 22, 2025

✔ NPI 1205129020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT90860

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

780 SHADOWRIDGE DR, Vista, CA 92083

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chanel Ruth Grant Lmft 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.

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.

DONNA CHRISTINE GRAY LCSW

Social Worker (Clinical)