Individual provider Active NPI

Alexis Victoria Clemons-Velasquez, MS

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1790163327
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT112365 Issued in CA
Practice address
2666 Cottage Way Apt 4
Sacramento, CA 95825-1224
Phone
(916) 583-4438
NPI assigned
May 14, 2015
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 LMFT112365 CA Primary

Addresses

Primary practice location

2666 Cottage Way Apt 4
Sacramento, CA 95825-1224

Mailing address

2666 Cottage Way Apt 4
Sacramento, CA 95825-1224
Phone (916) 583-4438

Other names 1

  • Alexis Victoria Clemons Former 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 Science

State licenses

LicenseStateTypeSpecialty
LMFT112365CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1790163327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 COTTAGE WAY APT 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251224",
            "telephone_number": "916-583-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 COTTAGE WAY APT 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251224",
            "telephone_number": "916-583-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS-VELASQUEZ",
        "first_name": "ALEXIS",
        "middle_name": "VICTORIA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT112365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "CLEMONS",
            "middle_name": "VICTORIA",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.