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CADISHA ALEXA GRAVESANDE LMFT
NPI 1255967410
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since March 19, 2020PECOS Enrolled
10532 ACACIA ST STE B4, RANCHO CUCAMONGA, CA 91730(909) 325-3766(626) 737-6034 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cadisha Alexa Gravesande Lmft NPPES

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

CADISHA ALEXA GRAVESANDE LMFT (NPI 1255967410) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (117966) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255967410
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCADISHA ALEXA GRAVESANDECredential: LMFT
Location Address10532 ACACIA ST STE B4Rancho Cucamonga, CA 91730-5455
Mailing Address41 E Foothill Blvd Ste 102Arcadia, CA 91006-2361 · (626) 701-4249 · Fax (626) 737-6034
Phone(909) 325-3766
Fax(626) 737-6034
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1255967410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 117966
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.
10532 ACACIA ST STE B4, Rancho Cucamonga, CA 91730
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Secondary Practice Location 1

Location 141 E Foothill Blvd Ste 102Arcadia, CA 91006-2361 · Phone (626) 701-4249 · Fax (626) 737-6034

Other Identifiers 1

Other117966CA · Bbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cadisha Alexa Gravesande Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547728909
PECOS Enrollment IDI20260815000815
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 Reassignment

Medicare enrollment records show Cadisha Gravesande reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soultenders Psychological Services, Inc.
26 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249

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 4

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

ARELI K GALLE
Counselor (Professional)
10532 ACACIA ST STE B4
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 325-3766
MONIQUE QUITORIANO MANRIQUEZ LCSW
Social Worker (Clinical)
10532 ACACIA ST STE B4
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 248-2674
JAMIE N. RIOS LMFT
Marriage & Family Therapist
10532 ACACIA ST STE B4
RANCHO CUCAMONGA, CA 91730
San Bernardino County (626) 701-4249
AMANY AL-SAYYED
Social Worker (Clinical)
10532 ACACIA ST STE B4
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 325-3766

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 Cadisha Gravesande's NPI number?

The NPI number for Cadisha Gravesande is 1255967410. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Cadisha Gravesande located?

Cadisha Gravesande practices at 10532 Acacia St Ste B4, Rancho Cucamonga, CA 91730. The listed phone number is (909) 325-3766.

What is Cadisha Gravesande's specialty?

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

Is Cadisha Gravesande enrolled in Medicare?

Yes. Cadisha Gravesande is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cadisha Gravesande's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cadisha Gravesande reassigns Medicare benefits to Soultenders Psychological Services, Inc. (Arcadia, CA). The 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 Cadisha Gravesande'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 Cadisha Gravesande was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.