Active NPI
Venita Antonia Lue, PH.D, MFT
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1356540793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT19942
- Practice address
- 2450 Peralta Blvd Ste 204
Fremont, CA 94536-3826 - Phone
- (510) 247-6120
- Fax
- (510) 793-8239
- NPI assigned
- Jul 16, 2007
- 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 | MFT19942 | CA | Primary |
Addresses
Primary practice location
2450 Peralta Blvd Ste 204
Fremont, CA 94536-3826
Mailing address
2450 Peralta Blvd Ste 204
Fremont, CA 94536-3826
Phone (510) 247-6120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379537 | Other | CA | MHN ( MENTAL HEALTH NETWO |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT19942 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356540793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 PERALTA BLVD STE 204",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363826",
"telephone_number": "510-247-6120",
"fax_number": "510-793-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 PERALTA BLVD STE 204",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363826",
"telephone_number": "510-247-6120",
"fax_number": "510-793-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUE",
"first_name": "VENITA",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "PH.D, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT19942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN ( MENTAL HEALTH NETWO",
"identifier": "379537",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.