Organization 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
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer Clearwater, LMFT 161786NPI 1356113716
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.