Individual provider Active NPI

Carmen Elisa Valentine I, MA

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1780692889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
129 John Henry Cir
Folsom, CA 95630-8133
Phone
(916) 985-2931
NPI assigned
Aug 4, 2006
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 CA Primary

Addresses

Primary practice location

129 John Henry Cir
Folsom, CA 95630-8133

Mailing address

129 John Henry Cir
Folsom, CA 95630-8133
Phone (916) 985-2931

Other names 1

  • Mrs. Carmen Elisa Valentine I Professional name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780692889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JOHN HENRY CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308133",
            "telephone_number": "916-985-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JOHN HENRY CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308133",
            "telephone_number": "916-985-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "CARMEN",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "VALENTINE",
            "middle_name": "ELISA",
            "prefix": "MRS.",
            "suffix": "I",
            "credential": "MFTINTERN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.