Individual provider Active NPI

Valerie Kristine Seagle, MFT-I

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1720463029
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT112853 Issued in CA
Practice address
3425 Coffee Rd Ste A2
Modesto, CA 95355-1582
Phone
(209) 524-9401
NPI assigned
Jul 28, 2015
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X MFT112853 CA Primary

Addresses

Primary practice location

3425 Coffee Rd Ste A2
Modesto, CA 95355-1582

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other names 1

  • Valerie Kristine Seagle Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001717 CA Practitioner - Marriage and Family Therapist 7719338797 Reassigns benefits to 1 organization

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
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

3425 Coffee Rd
Suite A2
Modesto, CA 95355-1582
Phone (209) 524-9401

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT112853CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie K. Seagle, Marriage and Family Therapy, Professional Corporation Marriage & Family Therapist Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

3425 Coffee Rd
Ste A2
Modesto, CA 95355
Phone (209) 524-9402

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1720463029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 COFFEE RD STE A2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551582",
            "telephone_number": "209-524-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "VALERIE",
        "middle_name": "KRISTINE",
        "credential": "MFT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT112853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "SEAGLE",
            "middle_name": "KRISTINE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.