GRACE MAE IRVINE MFT INTERN #IMF76936
NPI 1992041081
Marriage & Family Therapist in Carmichael, CA
About Grace Mae Irvine Mft Intern #imf76936 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE MAE IRVINE MFT INTERN #IMF76936 (NPI 1992041081) is an individual marriage & family therapist in Carmichael, California, licensed in California (IMF76936) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.
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 (PECOS)
Grace Mae Irvine Mft Intern #imf76936 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Irvine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
CARMICHAEL, CA 95608
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 Irvine's NPI number?
The NPI number for Grace Irvine is 1992041081. It was assigned to this individual provider in the NPPES registry on December 18, 2012.
Where is Grace Irvine located?
Grace Irvine practices at 5030 El Camino Ave, Carmichael, CA 95608. The listed phone number is (916) 949-8107.
What is Grace Irvine's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Grace Irvine enrolled in Medicare?
Yes. Grace Irvine is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Irvine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Irvine reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Irvine'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 Irvine was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Mae Irvine, MFT INTERN #IMF76936 · NPI 1992041081
Marriage & Family Therapist provider in Carmichael, California. Individual provider, active in the CMS NPPES registry since December 18, 2012.
## Identity
- **NPI:** 1992041081 (Entity type: Individual)
- **Enumerated:** December 18, 2012
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** IMF76936 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5030 EL CAMINO AVE, Carmichael, CA 95608-4650
- **Phone:** (916) 949-8107
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1992041081) · Data from the CMS NPPES public registry.