Individual provider Active NPI

Valerie Wai Ming Chu, ATR-BC, LCAT, LPCC

  • Mental Health Counselor
  • South Pasadena, CA
National Provider Identifier
1306155486
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC3516 Issued in CA
Practice address
1510 Oxley St Ste J
South Pasadena, CA 91030-5748
Phone
(818) 659-5971
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 001304-1 NY
Mental Health Counselor 101YM0800X LPCC3516 CA Primary

Addresses

Primary practice location

1510 Oxley St Ste J
South Pasadena, CA 91030-5748

Mailing address

556 S Fair Oaks Ave
#554
Pasadena, CA 91105-2656
Phone (917) 763-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2024 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC3516CAMDMental Health Counselor
3516CAMDIntellectual & Developmental Disabilities Psychologist
001304-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1306155486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE",
            "address_2": "#554",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656",
            "telephone_number": "917-763-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 OXLEY ST STE J",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305748",
            "telephone_number": "818-659-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "VALERIE",
        "middle_name": "WAI MING",
        "credential": "ATR-BC, LCAT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001304-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.