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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MATTAHSHUN SIMONE VAN-GRIGSBY
NPI 1851133268
Peer Specialist in Sacramento, CA

Active since June 07, 2024
3840 ROSIN CT STE 100, SACRAMENTO, CA 95834(916) 921-0828 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jul 16, 2026, Jun 7, 2024 (3 updates tracked since 2024).

About Mattahshun Simone Van-grigsby NPPES

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

MATTAHSHUN SIMONE VAN-GRIGSBY (NPI 1851133268) is an individual peer specialist in Sacramento, California, licensed in California (MPSS-MSXYOI) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1851133268
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMATTAHSHUN SIMONE VAN-GRIGSBY
Location Address3840 ROSIN CT STE 100Sacramento, CA 95834-1645
Mailing Address8912 Volunteer LnSacramento, CA 95826-3221 · (916) 212-8066
Phone(916) 921-0828
Sole ProprietorNo
Enumeration DateJune 7, 2024
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1851133268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-MSXYOI
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3840 ROSIN CT STE 100, Sacramento, CA 95834
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Other Names 1

Professional Name (2)Tisha Van-grigsby

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.

MISS ALEJANDRA G RAMIREZ-ARREOLA MSW
Social Worker
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 407-4668
MS. JENNIFER EILEEN CROSETTI M.S.W
Day Training/Habilitation Specialist
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 926-1585
MS. LESLIE MARGARITA WILSON CMPSS
Peer Specialist
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 906-5434
JASON HERRERA
Peer Specialist
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828
KAPRIA TENILLE HEBERT
Day Training/Habilitation Specialist
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828
LINDSEY LEE WILLIAMS
Community Health Worker
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 203-3470
LAURA ASHLEY SMITH MSW
Social Worker
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828
PACIFIC CLINICS
Community/Behavioral Health
3840 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828

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 Mattahshun Van-grigsby's NPI number?

The NPI number for Mattahshun Van-grigsby is 1851133268. It was assigned to this individual provider in the NPPES registry on June 7, 2024. The provider is also known as Tisha Van-Grigsby.

Where is Mattahshun Van-grigsby located?

Mattahshun Van-grigsby practices at 3840 Rosin Ct Ste 100, Sacramento, CA 95834. The listed phone number is (916) 921-0828.

What is Mattahshun Van-grigsby's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mattahshun Van-grigsby was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.