Individual provider Active NPI

Janiel Vebeke Giraldo, AMFT

  • Marriage & Family Therapist
  • Arcata, CA
National Provider Identifier
1023639788
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114584 Issued in CA
Practice address
1 Harpst St
Arcata, CA 95521-8299
Phone
(707) 826-3236
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114584 CA Primary

Addresses

Primary practice location

1 Harpst St
Arcata, CA 95521-8299

Mailing address

112 W Clark St Apt a
Eureka, CA 95501-5312
Phone (707) 205-7787

Other identifiers 1

IdentifierTypeStateIssuer
114584OtherCAASSOCIATE MARRIAGE AND FAMILY THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pyramed Health Information Exchange (HIE) California State Polytechnic University, Humboldt

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114584CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California State Polytechnic University, Humboldt PastSince May 10, 2020 Accepting new patients
Humboldt State University PastSince May 10, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023639788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W CLARK ST APT A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955015312",
            "telephone_number": "707-205-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARPST ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218299",
            "telephone_number": "707-826-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "JANIEL",
        "middle_name": "VEBEKE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE MARRIAGE AND FAMILY THERAPIST",
            "identifier": "114584",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pyramed",
            "affiliation": "Y",
            "affiliationName": "California State Polytechnic University, Humboldt",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Harpst St",
            "city": "Arcata",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955218299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.