Individual provider Active NPI

Alicia Littlejohn Cordeiro, LMFT

  • Mental Health Counselor
  • Folsom, CA
National Provider Identifier
1831245091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC#39254 Issued in CA
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

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
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

LicenseStateTypeSpecialty
MFC#39254CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine M Kilgore PHD Inc PastSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.