Individual provider Active NPI

Valeriya Bauer

  • Marriage & Family Therapist
  • Agoura Hills, CA
National Provider Identifier
1801619796
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
157468 Issued in CA
Practice address
28310 Roadside Dr Ste 111
Agoura Hills, CA 91301-4947
Phone
(714) 576-6307
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 139883 CA
Marriage & Family Therapist 106H00000X 157468 CA Primary
Professional Counselor 101YP2500X 14037 CA

Addresses

Primary practice location

28310 Roadside Dr Ste 111
Agoura Hills, CA 91301-4947

Mailing address

1014 S Westlake Blvd # 14-341
Westlake Village, CA 91361-3108
Phone (714) 576-6307

Other practice location 1

580 California St Fl 12
San Francisco, CA 94104-1033
Phone (415) 992-6155

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
I20251211001800 CA Practitioner - Marriage and Family Therapist 2668966144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1014 S Westlake Blvd
14 341
Westlake Village, CA 91361-3108

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
157468CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmic Awakening Family Therapy & Counseling PC Professional CurrentSince Sep 14, 2025 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

28310 Roadside Dr
Ste 111
Agoura Hills, CA 91301
Phone (714) 576-6307

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

1014 S Westlake Blvd
#14341
Westlake Village, CA 91361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1801619796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD # 14-341",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613108",
            "telephone_number": "714-576-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 111",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014947",
            "telephone_number": "714-576-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 California St Fl 12",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941041033",
            "country_code": "US",
            "telephone_number": "415-992-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "VALERIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139883",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157468",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.