Individual provider Active NPI

Virginia Valdez, MA, LMFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1407269897
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT100079 Issued in CA
Practice address
2200 Tydd St
Eureka, CA 95501-1284
Phone
(650) 444-1569
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1000079 CA
Marriage & Family Therapist 106H00000X LMFT100079 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2200 Tydd St
Eureka, CA 95501-1284

Mailing address

2200 Tydd St
Eureka, CA 95501-1284
Phone (650) 444-1569

Other practice location 1

3360 N Highway 59 Ste K
Merced, CA 95348-9405
Phone (209) 726-3090 ext. 7540

Other practice location 2

566 Maple Ave
Sunnyvale, CA 94085-3708
Phone (415) 519-9256

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
1000079CAMDProfessional Counselor
LMFT100079CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: virginia.valdezlmft.p1@direct.schc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1407269897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 TYDD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011284",
            "telephone_number": "650-444-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TYDD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011284",
            "telephone_number": "650-444-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 N Highway 59 Ste K",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953489405",
            "country_code": "US",
            "telephone_number": "209-726-3090 x7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "566 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940853708",
            "country_code": "US",
            "telephone_number": "415-519-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "VIRGINIA",
        "name_prefix": "Miss",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1000079",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT100079",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.