Individual provider Active NPI

Cindy Lizet Vallejo

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1811728744
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1727 MLK Jr Way Ste 109
Oakland, CA 94612-1358
Phone
(510) 380-1709
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X CA Primary

Addresses

Primary practice location

1727 MLK Jr Way Ste 109
Oakland, CA 94612-1358

Mailing address

498 25TH St Apt 25
Oakland, CA 94612-2403
Phone (341) 600-4117

Other practice location 1

2130 Center St Ste 200
Berkeley, CA 94704-1386
Phone (510) 548-8283

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Center for Human Growth CurrentSince Aug 18, 2024 Accepting new patients
Pacific Center for Human Growth CurrentSince Aug 18, 2024 Accepting new patients

Locations

2130 Center St
Ste 200
Berkeley, CA 94704
Phone (510) 548-8283

Organizations & group practices 2

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1811728744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 25TH ST APT 25",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122403",
            "telephone_number": "341-600-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 MLK JR WAY STE 109",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121358",
            "telephone_number": "510-380-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Center St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041386",
            "country_code": "US",
            "telephone_number": "510-548-8283",
            "fax_number": "510-548-2938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "CINDY",
        "middle_name": "LIZET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.