GRACE KAREN GAINES
NPI 1396119038
Counselor - Mental Health in Palmdale, CA
About Grace Karen Gaines NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KAREN GAINES (NPI 1396119038) is an individual mental health provider in Palmdale, California, licensed in California (AMF108852) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grace Karen Gaines is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Grace Gaines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Plainfield, IL 60585
- Reassigned Medicare billing, California enrollment
- 117 clinicians in this Medicare group
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.
PALMDALE, CA 93550
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 Grace Gaines's NPI number?
The NPI number for Grace Gaines is 1396119038. It was assigned to this individual provider in the NPPES registry on November 18, 2015.
Where is Grace Gaines located?
Grace Gaines practices at 1529 E Palmdale Blvd, Palmdale, CA 93550. The listed phone number is (661) 272-9996.
What is Grace Gaines's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Grace Gaines enrolled in Medicare?
Yes. Grace Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Gaines reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Lancaster, CA) and Blue Moon Senior Counseling Of California LLC (Plainfield, IL). 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 Grace Gaines'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 Grace Gaines was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Grace Karen Gaines · NPI 1396119038
Mental Health provider in Palmdale, California. Individual provider, active in the CMS NPPES registry since November 18, 2015.
## Identity
- **NPI:** 1396119038 (Entity type: Individual)
- **Enumerated:** November 18, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** AMF108852 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1529 E PALMDALE BLVD, Palmdale, CA 93550-2034
- **Phone:** (661) 272-9996 · **Fax:** (661) 272-0438
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA); Blue Moon Senior Counseling Of California LLC (NPI 1447678990, Plainfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396119038) · Data from the CMS NPPES public registry.