LAURA GROSSMAN
NPI 1558764282
Marriage & Family Therapist in Berkeley, CA

Active since October 08, 2014Opted out of Medicare · through Oct 1, 2026
3120 TELEGRAPH AVE STE 3, BERKELEY, CA 94705(510) 426-6135 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laura Grossman NPPES

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

LAURA GROSSMAN (NPI 1558764282) is an individual marriage & family therapist in Berkeley, California and active in the NPI registry since October 2014. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1558764282
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLAURA GROSSMAN
Location Address3120 TELEGRAPH AVE STE 3Berkeley, CA 94705-1964
Mailing Address3120 Telegraph Ave Ste 3Berkeley, CA 94705-1964 · (510) 426-6135
Sole ProprietorNo
Enumeration DateOctober 8, 2014
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1558764282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.

3120 TELEGRAPH AVE STE 3, Berkeley, CA 94705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Laura Grossman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
3120 TELEGRAPH AVE STE 3
BERKELEY, CA 94705
Marriage & Family Therapist
3120 TELEGRAPH AVE STE 3
BERKELEY, CA 94705
Counselor (Mental Health)
3120 TELEGRAPH AVE STE 3
BERKELEY, CA 94705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558764282, enumerated as an "individual" on October 08, 2014.

The provider is located at 3120 TELEGRAPH AVE STE 3 BERKELEY, CA 94705 and the phone number is (510) 426-6135.

Marriage & Family Therapist with taxonomy code 106H00000X.