Active NPI
Mariella Valencia, B.A., M.A.
- Marriage & Family Therapist
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT99098
- Practice address
- 850 E Foothill Blvd
Rialto, CA 92376-5230 - Phone
- (951) 525-2123
- NPI assigned
- Jul 6, 2015
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT99098 | CA | Primary |
Addresses
Primary practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
Mailing address
7941 Trey Ave
Riverside, CA 92503-1921
Phone (951) 543-6569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-6002748 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23201 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-7906
Phone (888) 795-4337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT99098 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Current | Accepting new patients | |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Past | Accepting new patients |
Locations
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320
7177 Brockton Ave
Ste 111
Riverside, CA 92506
Phone (949) 460-5322
1100 Melody Ln
Ste 108
Roseville, CA 95678
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
-
- Mental Health Counselor
- San Jose, CA
- NPI 1598629362
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1568845873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7941 TREY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925031921",
"telephone_number": "951-543-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765230",
"telephone_number": "951-525-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "MARIELLA",
"name_prefix": "Ms.",
"credential": "B.A., M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT99098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95-6002748",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.