Individual provider Active NPI

Valencia Michelle Adair, CADCIII

  • Addiction (Substance Use Disorder) Counselor
  • Sugar Land, TX
National Provider Identifier
1467619312
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16912 Issued in TX
Practice address
16335 Blossomwood LN
Sugar Land, TX 77498-7181
Phone
(619) 781-2040
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X B00001750521 CA
Licensed Psychiatric Technician 167G00000X 42020 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 16912 TX Primary

Addresses

Primary practice location

16335 Blossomwood LN
Sugar Land, TX 77498-7181

Mailing address

16335 Blossomwood LN
Sugar Land, TX 77498-7181
Phone (619) 781-2040

Other practice location 1

3355 Mission Ave
Oceanside, CA 92058
Phone (442) 888-5827

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

LicenseStateTypeSpecialty
B00001750521CAMDAddiction (Substance Use Disorder) Counselor
16912TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1467619312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 BLOSSOMWOOD LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987181",
            "telephone_number": "619-781-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 BLOSSOMWOOD LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987181",
            "telephone_number": "619-781-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92058",
            "country_code": "US",
            "telephone_number": "442-888-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "VALENCIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "CADCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B00001750521",
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "42020",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.