Individual provider Active NPI

Valorie Lynn De Lena, M.A., MFT

  • Marriage & Family Therapist
  • Lafayette, CA
National Provider Identifier
1679622476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 42456 Issued in CA
Practice address
3468 Mt Diablo Blvd
Suite B-301
Lafayette, CA 94549-3957
Phone
(925) 295-0342
Fax
(925) 284-1599
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 42456 CA Primary

Addresses

Primary practice location

3468 Mt Diablo Blvd
Suite B-301
Lafayette, CA 94549-3957

Mailing address

3468 Mt Diablo Blvd
Suite B-201
Lafayette, CA 94549-3957
Phone (925) 295-0342

Other identifiers 2

IdentifierTypeStateIssuer
19-246-0OtherCACC CO. DEPT HUMAN SVCS.
09036OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Valorie Lynn Mickels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 28, 2024 through May 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 42456CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679622476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B-201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "925-295-0342",
            "fax_number": "925-284-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B-301",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "925-295-0342",
            "fax_number": "925-284-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LENA",
        "first_name": "VALORIE",
        "middle_name": "LYNN",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC CO. DEPT HUMAN SVCS.",
            "identifier": "19-246-0",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "09036",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALORIE",
            "last_name": "MICKELS",
            "middle_name": "LYNN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.