GRACE MARIE SAKURADA (MS, LMFT) – Marriage & Family Therapist, NPI 1780128793

GRACE MARIE SAKURADA (MS, LMFT) is a healthcare provider. based in Willits, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS, LMFT. They hold a License No. MFTI 96796 (CA). The NPI Number for GRACE MARIE SAKURADA (MS, LMFT) is 1780128793

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
GRACE MARIE SAKURADA (MS, LMFT)
NPI
1780128793
Phone
(916) 879-3054
Address
104 W MENDOCINO AVE
Enumeration Date
9 December 2016
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
2961841325
Group Practice PAC ID
8628965852
Professional Enrollment ID
I20240417003713
Address ID
CA954540000LAPOXXXBOXX202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for GRACE MARIE SAKURADA (MS, LMFT)

  • 104 W MENDOCINO AVE

    WILLITS, CA 954903412

    Phone: (916) 879-3054

    Type: Location

  • 333 Creekside Dr

    Willits, CA 954903611

    Phone: (916) 879-3054

    Type: Location

  • 169 Mason St Ste 300

    Ukiah, CA 954824483

    Phone: (707) 463-3300

    Type: Location

  • 290, East Gobbi Street, Oak Manor, Ukiah, Mendocino County, California, 95482, United States

    UKIAH, CA 954825559

    Phone: (707) 463-3300

    Type: Mailing

  • 333 CREEKSIDE DR

    WILLITS, CA 954903611

    Phone: (916) 879-3054

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240417003713IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95490)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628965852View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Family Practice, Emergency Medicine, Family PracticeCA
Nurse PractitionerCA
-CA
Clinical Social WorkerCA
Family PracticeCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

How do payers reference GRACE MARIE SAKURADA (MS, LMFT)?
For GRACE MARIE SAKURADA (MS, LMFT), use NPI 1780128793 as the unique 10-digit identifier.
Active or inactive — what applies to GRACE MARIE SAKURADA (MS, LMFT)?
You should see GRACE MARIE SAKURADA (MS, LMFT) as active in CMS-hosted NPPES data.
What area of care is associated with GRACE MARIE SAKURADA (MS, LMFT)?
GRACE MARIE SAKURADA (MS, LMFT)'s record emphasizes Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with GRACE MARIE SAKURADA (MS, LMFT)?
Directory geography for GRACE MARIE SAKURADA (MS, LMFT) centers on Willits, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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