Individual provider Active NPI

Valerie S Nieto, RADT I

  • Addiction (Substance Use Disorder) Counselor
  • Lemon Grove, CA
National Provider Identifier
1053285387
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1620540725 Issued in CA
Practice address
7150 Broadway
Lemon Grove, CA 91945-1401
Phone
(619) 255-5167
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1620540725 CA Primary

Addresses

Primary practice location

7150 Broadway
Lemon Grove, CA 91945-1401

Mailing address

1425 Second Ave SPC 113
Chula Vista, CA 91911-5017
Phone (619) 255-5167

Other practice location 1

7592 Broadway
Lemon Grove, CA 91945-1604
Phone (619) 515-2550

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
R1620540725CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1053285387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 SECOND AVE SPC 113",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115017",
            "telephone_number": "619-255-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451401",
            "telephone_number": "619-255-5167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7592 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919451604",
            "country_code": "US",
            "telephone_number": "619-515-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIETO",
        "first_name": "VALERIE",
        "middle_name": "S",
        "credential": "RADT I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1620540725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.