Individual provider Active NPI

Matthew Zeledon

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1770847451
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125250 Issued in CA
Practice address
925 Maidu Ave
Nevada City, CA 95959-8600
Phone
(530) 265-1523
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125250 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

925 Maidu Ave
Nevada City, CA 95959-8600

Mailing address

925 Maidu Ave
Nevada City, CA 95959-8600
Phone (530) 265-1523

Other practice location 1

714 W Main St
Grass Valley, CA 95945-6410
Phone (530) 477-9800

Other practice location 2

500 Crown Point Cir
Grass Valley, CA 95945-9561
Phone (530) 273-5440

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
125250CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1770847451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAIDU AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598600",
            "telephone_number": "530-265-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIDU AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598600",
            "telephone_number": "530-265-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 W Main St",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959456410",
            "country_code": "US",
            "telephone_number": "530-477-9800",
            "fax_number": "530-477-9803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Crown Point Cir",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959459561",
            "country_code": "US",
            "telephone_number": "530-273-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELEDON",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125250",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.