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MS. GRENDA BLACK DAVID
NPI 1760869531
Marriage & Family Therapist in Toluca Lake, CA

Active since April 30, 2015Opted out of Medicare · through Jan 3, 2028
10649 RIVERSIDE DR, TOLUCA LAKE, CA 91602(818) 416-3246 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Grenda Black David NPPES

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

MS. GRENDA BLACK DAVID (NPI 1760869531) is an individual marriage & family therapist in Toluca Lake, California, licensed in California (102985) and active in the NPI registry since April 2015. She has opted out of Medicare through January 3, 2028 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1760869531
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. GRENDA BLACK DAVID
Location Address10649 RIVERSIDE DRToluca Lake, CA 91602
Mailing Address5335 Fountain AveLos Angeles, CA 90029-1013 · (818) 416-3246 · Fax (310) 788-3403
Phone(818) 416-3246
Sole ProprietorYes
Enumeration DateApril 30, 2015
Last NPPES UpdateJuly 12, 2018
✔ NPI 1760869531 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 · 102985
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.
10649 RIVERSIDE DR, Toluca Lake, CA 91602
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Secondary Practice Location 1

Location 13171 Los Feliz Blvd Ste 315Los Angeles, CA 90039-1537 · Phone (818) 416-3246

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Grenda Black David 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 January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

LAUREN SINGER COMPTON LCSW
Social Worker (Clinical)
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (323) 434-4144
CASSANDRA JEAN ADAMS
Marriage & Family Therapist
10649 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602
Los Angeles County (818) 859-4342
MARC WEISS LMFT
Marriage & Family Therapist
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (626) 437-0189
DR. REBEKKAH LEE ROBERTS PSY.D.
Psychologist (Clinical)
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (818) 762-1137
TRACI GUNN LMFT
Marriage & Family Therapist
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (818) 405-0100
JOALLA GOLD LCSW
Social Worker (Clinical)
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (818) 789-5122
GLENN GOVEIA M.S.
Marriage & Family Therapist
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (323) 692-9118
MEGAN ALLISON MURDOCH LCSW
Social Worker (Clinical)
10649 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (206) 962-1887

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 Grenda David's NPI number?

The NPI number for Grenda David is 1760869531. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Grenda David located?

Grenda David practices at 10649 Riverside Dr, Toluca Lake, CA 91602. The listed phone number is (818) 416-3246.

What is Grenda David's specialty?

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

Is Grenda David enrolled in Medicare?

No. Grenda David has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Grenda David was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.