Active NPI
Susan B. Valkenaar, MA, LMFT
- Mental Health Counselor
- Santa Clara, CA
National Provider Identifier
1417185992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 58997
- Practice address
- 1400 Coleman Ave #E15-1
Santa Clara, CA 95050 - Phone
- (408) 404-5755
- Fax
- (408) 404-5575
- NPI assigned
- Jun 23, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 58997 | CA | Primary |
Addresses
Primary practice location
1400 Coleman Ave #E15-1
Santa Clara, CA 95050
Mailing address
395 Del Monte Center #124
Monterey, CA 93940
Phone (408) 404-5755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 1, 2024 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1417185992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 DEL MONTE CENTER #124",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "408-404-5755",
"fax_number": "408-404-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COLEMAN AVE #E15-1",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95050",
"telephone_number": "408-404-5755",
"fax_number": "408-404-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALKENAAR",
"first_name": "SUSAN",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "58997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.