Active NPI
Alicia Littlejohn Cordeiro, LMFT
- Mental Health Counselor
- Folsom, CA
National Provider Identifier
1831245091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC#39254
- Practice address
- 13405 Folsom Blvd
Suite 220
Folsom, CA 95630-4737 - Phone
- (916) 849-5244
- Fax
- (916) 357-5964
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC#39254 | CA | Primary |
Addresses
Primary practice location
13405 Folsom Blvd
Suite 220
Folsom, CA 95630-4737
Mailing address
13405 Folsom Blvd
Suite 220
Folsom, CA 95630-4737
Phone (916) 849-5244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC#39254 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine M Kilgore PHD Inc | Past | Accepting new patients | |
| The Relationship Elevation and Learning Institute | Mental Health | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Folsom, CA
- NPI 1770765794
-
- Mental Health Counselor
- Folsom, CA
- NPI 1730889825
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831245091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13405 FOLSOM BLVD",
"address_2": "SUITE 220",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304737",
"telephone_number": "916-849-5244",
"fax_number": "916-357-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13405 FOLSOM BLVD",
"address_2": "SUITE 220",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304737",
"telephone_number": "916-849-5244",
"fax_number": "916-357-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDEIRO",
"first_name": "ALICIA",
"middle_name": "LITTLEJOHN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC#39254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.