Active NPI
Laura Viviana Folsom
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1417722315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC15190
- Practice address
- 8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610 - Phone
- (619) 345-4611
- NPI assigned
- Nov 20, 2023
- Last updated
- Aug 6, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC15190 | CA | Primary |
Addresses
Primary practice location
8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610
Mailing address
3110 Camino del Rio S Ste 220
San Diego, CA 92108-3831
Phone (954) 647-8127
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC15190 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Steven a. Cohen Military Family Clinic at VVSD, San Diego | Current | Accepting new patients |
Locations
8885 Rio San Diego Dr
Ste 301
San Diego, CA 92108
Phone (619) 345-4611
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1053022772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1417722315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083831",
"telephone_number": "954-647-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR STE 301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081610",
"telephone_number": "619-345-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "LAURA",
"middle_name": "VIVIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC15190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.