NPIMap

Individual provider Active NPI

Iyeshia Valentine, AMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1255874657
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105463 Issued in CA
Practice address
250 Executive Park Blvd Ste 4900
San Francisco, CA 94134
Phone
(415) 656-0116
Fax
(415) 656-0117
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105463 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134

Mailing address

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone (415) 656-0116

Other practice location 1

5674 Stoneridge Dr
Pleasanton, CA 94588-8500
Phone (925) 520-0005 ext. 103

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
105463CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Family Services, Inc. Past Accepting new patients
Alternative Family Services, Inc Past Accepting new patients
Pathways to Wellness Past Accepting new patients
Pathways to Wellness Past Accepting new patients

Organizations & group practices 4

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1255874657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343335",
            "telephone_number": "415-656-0116",
            "fax_number": "415-656-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD STE 4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94134",
            "telephone_number": "415-656-0116",
            "fax_number": "415-656-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5674 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888500",
            "country_code": "US",
            "telephone_number": "925-520-0005 x103",
            "fax_number": "925-892-9820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "IYESHIA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105463",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.