Active NPI
Nassim Fardghassemi Valery
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1114233426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT84134
- Practice address
- 16959 Bernardo Center Dr Ste 110
San Diego, CA 92128-2494 - Phone
- (619) 281-6414
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | LMFT84134 | CA | Primary |
Addresses
Primary practice location
16959 Bernardo Center Dr Ste 110
San Diego, CA 92128-2494
Mailing address
5915 Mira Mesa Blvd Ste D
San Diego, CA 92121-4303
Phone (858) 375-9003
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT84134 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Ray Clinical Psychologist Inc | Mental Health | Current | Accepting new patients |
| Counseling & Behavioral Specialists, a Non-Profit Counseling Corporati | Past | Accepting new patients | |
| Counseling & Behavioral Specialists | Marriage & Family Therapist | Past | Accepting new patients |
Locations
16959 Bernardo Center Dr
Ste 110
San Diego, CA 92128
Phone (619) 281-6414
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1104522655
-
- Marriage & Family Therapist
- La Mesa, CA
- NPI 1285007583
-
- Community/Behavioral Health Agency
- La Mesa, CA
- NPI 1205280179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1114233426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 MIRA MESA BLVD STE D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214303",
"telephone_number": "858-375-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16959 BERNARDO CENTER DR STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282494",
"telephone_number": "619-281-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERY",
"first_name": "NASSIM",
"middle_name": "FARDGHASSEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT84134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.