NAKISHA LAVON GRANT
NPI 1538711049
Counselor - Mental Health in Lake Elsinore, CA

Q: What is Nakisha Grant's NPI number?

The NPI number for Nakisha Grant is 1538711049. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Q: What is Nakisha Grant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nakisha Grant was last updated on July 15, 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.

Active since July 15, 2019PECOS Enrolled

31772 CASINO DR STE A&B, LAKE ELSINORE, CA 92530(951) 674-9400(951) 674-9486 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Nakisha Lavon Grant NPPES

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

NAKISHA LAVON GRANT (NPI 1538711049) is an individual mental health provider in Lake Elsinore, California, licensed in California (98955) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538711049

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNAKISHA LAVON GRANT

Location Address31772 CASINO DR STE A&BLake Elsinore, CA 92530-4502

Mailing Address31772 Casino Dr Ste A&bLake Elsinore, CA 92530-4502 · (951) 674-9400 · Fax (951) 674-9486

Phone(951) 674-9400

Fax(951) 674-9486

Sole ProprietorNo

Enumeration DateJuly 15, 2019

✔ NPI 1538711049 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 · 98955

31772 CASINO DR STE A&B, Lake Elsinore, CA 92530

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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)

Nakisha Lavon Grant 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.

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 Nakisha Grant's NPI number?

The NPI number for Nakisha Grant is 1538711049. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Nakisha Grant located?

Nakisha Grant practices at 31772 Casino Dr Ste A&b, Lake Elsinore, CA 92530. The listed phone number is (951) 674-9400.

What is Nakisha Grant's specialty?

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

Is Nakisha Grant enrolled in Medicare?

Yes. Nakisha Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nakisha Grant was last updated on July 15, 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.