Letissa Valentine-Celindro, LMFT

Individual provider Active NPI Marriage & Family Therapist · Capistrano Beach, CA

NPI 1871307199 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1871307199
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
151920 (CA)
Practice address
PO Box 2583
Capistrano Beach, CA 92624-0583
Phone
(949) 444-9626
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250228002508 CA Practitioner - Marriage and Family Therapist 0547780934 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
151920CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist Current
since Jan 28, 2025
Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 151920 CA Yes

Addresses

Primary practice location

PO Box 2583
Capistrano Beach, CA 92624-0583

Mailing address

PO Box 2583
Capistrano Beach, CA 92624-0583

Other providers in Capistrano Beach, CA

All providers in Capistrano Beach, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.