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MR. KEVIN MICHAEL GRACE MSW ASW
NPI 1366184129
Counselor - Mental Health in Reseda, CA

Active since April 12, 2022PECOS Enrolled
7101 BAIRD AVE, RESEDA, CA 91335(818) 342-5897 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Kevin Michael Grace Msw Asw NPPES

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

MR. KEVIN MICHAEL GRACE MSW ASW (NPI 1366184129) is an individual mental health provider in Reseda, California, licensed in California (97954) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366184129
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN MICHAEL GRACECredential: MSW ASW
Location Address7101 BAIRD AVEReseda, CA 91335-4150
Mailing Address3626 W Avenue 42Los Angeles, CA 90065-4304 · (213) 909-8384
Phone(818) 342-5897
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1366184129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 97954
7101 BAIRD AVE, Reseda, CA 91335
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Michael Grace Msw Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971012634
PECOS Enrollment IDI20260731004630
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 Kevin Grace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apla Health & Wellness
13 mi
Federally Qualified Health Center (FQHC)
7531 SANTA MONICA BLVD STE 100
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1104688795 (323) 988-1400

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.

GINA LARCO
Case Manager/Care Coordinator
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
ADRIANA AYON
Counselor (Mental Health)
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
JENNIFER HERRON
Social Worker
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
RICHARD SALAZAR
Case Manager/Care Coordinator
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
VANESSA SILVA
Counselor (Addiction (Substance Use Disorder))
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
JOANNA ARCE
Case Manager/Care Coordinator
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
MS. KATHLEEN LEMANSKI R.N.
Registered Nurse
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897
NILO PENMAN JR.
Peer Specialist
7101 BAIRD AVE
RESEDA, CA 91335
Los Angeles County (818) 342-5897

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 Kevin Grace's NPI number?

The NPI number for Kevin Grace is 1366184129. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Kevin Grace located?

Kevin Grace practices at 7101 Baird Ave, Reseda, CA 91335. The listed phone number is (818) 342-5897.

What is Kevin Grace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Grace enrolled in Medicare?

Yes. Kevin Grace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Grace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Grace reassigns Medicare benefits to Apla Health & Wellness (West Hollywood, 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 Kevin Grace'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 Kevin Grace was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.