Active NPI
Valerie Mick
- Counselor
- Lower Lake, CA
National Provider Identifier
1417348137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 16170 Main St Ste F
Lower Lake, CA 95457-7603 - Phone
- (707) 994-5486
- NPI assigned
- Feb 17, 2015
- Last updated
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
16170 Main St Ste F
Lower Lake, CA 95457-7603
Mailing address
16170 Main St Ste F
Lower Lake, CA 95457-7603
Phone (707) 994-5486
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1417348137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16170 MAIN ST STE F",
"city": "LOWER LAKE",
"state": "CA",
"postal_code": "954577603",
"telephone_number": "707-994-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16170 MAIN ST STE F",
"city": "LOWER LAKE",
"state": "CA",
"postal_code": "954577603",
"telephone_number": "707-994-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICK",
"first_name": "VALERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lower Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.