Active NPI
Beautiful Evolution Marriage and Family Therapy Professional Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roseville, CA
National Provider Identifier
1013842640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BEAUTIFUL EVOLUTION MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
- Practice address
- 3010 Lava Ridge CT Ste 180
Roseville, CA 95661-3075 - Phone
- (916) 415-8421
- NPI assigned
- Jun 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Clearwater, LMFT 161786
- Title
- President
- Phone
- (916) 415-8421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3010 Lava Ridge CT Ste 180
Roseville, CA 95661-3075
Mailing address
3010 Lava Ridge CT Ste 180
Roseville, CA 95661-3075
Phone (916) 415-8421
National Provider Directory
National Provider DirectoryLocations
3010 Lava Ridge Ct
Ste 180
Roseville, CA 95661
Phone (279) 888-1889
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Roseville, CA
- NPI 1356113716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1013842640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 LAVA RIDGE CT STE 180",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613075",
"telephone_number": "916-415-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 LAVA RIDGE CT STE 180",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613075",
"telephone_number": "916-415-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL EVOLUTION MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "CLEARWATER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-415-8421",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT 161786"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.