Chanel Ruth Grant, LMFT in Vista, CA - Medicare Marriage & Family Therapist Provider

Chanel Ruth Grant, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Vista, California. Her current practice location is 780 Shadowridge Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at (833) 579-4848.

Chanel Ruth Grant is licensed to practice in California (license number LMFT90860) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205129020.

Contact Information

	Chanel Ruth Grant, LMFT
	780 Shadowridge Dr, Vista, CA 92083-7986
	(833) 579-4848
	(760) 599-2399

Map and Direction

Healthcare Provider's Profile

Full Name	Chanel Ruth Grant
Gender	Female
Speciality	Marriage & Family Therapist
Location	780 Shadowridge Dr, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205129020
Provider Enumeration Date: 05/26/2011
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5890231138
Enrollment ID: I20240723003999

Medical Identifiers

Medical identifiers for Chanel Ruth Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205129020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	LMFT90860 (California)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chanel Ruth Grant allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanel Ruth Grant is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chanel Ruth Grant, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (833) 579-4848	Chanel Ruth Grant, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (833) 579-4848

Reviews and Comments

Marriage & Family Therapist in Vista, CA

Jacque Alice Saulpaw, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 810 Smith Dr, Vista, CA 92084 Phone: 619-813-2933
Mr. Jeffrey William Smith, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1304 N Melrose Dr, Suite J, Vista, CA 92083 Phone: 760-207-6617
Carissa Nicole Rocha, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Vista, CA 92084 Phone: 760-726-4900
Matthew Brown, LMFT 113303 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1134 Vista Bonita Dr, Vista, CA 92083 Phone: 760-239-9042 Fax: 760-298-5294
Tara A Hodgens, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 410 S Melrose Dr, Ste 202, Vista, CA 92081 Phone: 610-840-5487
Heather Arrington, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 877-496-0450
Alberta Saavedra, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Vista, CA 92084 Phone: 760-842-6204

Chanel Ruth Grant, LMFT - Medicare Couples Therapy in Vista, CA