Michelle Tirella Ventura

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

109932 Issued in CA

Practice address

1501 Washington Ave
Albany, CA 94706

Phone

(510) 809-6718

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child Therapy Institute

  • Community/Behavioral Health Agency
  • Albany, CA
  • NPI 1679607386
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1437652468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061856",
            "telephone_number": "510-525-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "510-809-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "CA",
            "postal_code": "94706",
            "country_code": "US",
            "telephone_number": "510-809-6718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "MICHELLE",
        "middle_name": "TIRELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UCSF Pediatric Rheumatology Department
• Nancy Kay Ulmer, LCSW
• Kelsey C Underwood, PHD, LMFT
• Jan Van Der Zwaag, MFT
• Loraine Y Van Tuyl, PHD
• Lisa Clark Verdon, O.D.
• Stephen Adair Vernon, MFT
• Emily Cristina Viggiano, M.D.
• Laurie Vollen, MD
• Michael D Voyne, D.D.S.

• Mental Health Counselor in Albany, CA
• Providers in Albany, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.