Active NPI
Alyssa M Valdez
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
National Provider Identifier
1841817632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1376670120
- Practice address
- 1646 S Court St
Visalia, CA 93277-4962 - Phone
- (559) 625-8890
- Fax
- (559) 733-5053
- NPI assigned
- Jun 29, 2020
- Last updated
- Jun 29, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1376670120 | CA | Primary |
Addresses
Primary practice location
1646 S Court St
Visalia, CA 93277-4962
Mailing address
1646 S Court St
Visalia, CA 93277-4962
Phone (559) 625-8890
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1376670120 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1841817632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774962",
"telephone_number": "559-625-8890",
"fax_number": "559-733-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774962",
"telephone_number": "559-625-8890",
"fax_number": "559-733-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "ALYSSA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1376670120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.