Active NPI
Valeri Rachelle Trezise, LMFT
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1174036263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102684
- Practice address
- 4630 Campus Dr Ste 104
Newport Beach, CA 92660 - Phone
- (714) 402-8563
- NPI assigned
- Nov 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102684 | CA | Primary |
Addresses
Primary practice location
4630 Campus Dr Ste 104
Newport Beach, CA 92660
Mailing address
4630 Campus Dr Ste 104
Newport Beach, CA 92660-1804
Other practice location 1
27001 La Paz Rd Ste 403
Mission Viejo, CA 92691-5529
Phone (714) 402-8563
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 |
|---|---|---|---|
| 102684 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Opener Psychological Services, Inc | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Mission Viejo, CA
- NPI 1508016569
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545696000000",
"number": "1174036263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 CAMPUS DR STE 104",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 CAMPUS DR STE 104",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "714-402-8563"
}
],
"practiceLocations": [
{
"address_1": "27001 La Paz Rd Ste 403",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926915529",
"country_code": "US",
"telephone_number": "714-402-8563",
"fax_number": "949-215-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREZISE",
"first_name": "VALERI",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-10",
"last_updated": "2018-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.