Traci Astrid Valentine, M.ED., M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2187 Issued in MN

Practice address

6053 Hudson Rd Ste 152
Woodbury, MN 55125-1015

Phone

(651) 373-3886

NPI assigned

Feb 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Education

State licenses

Practice roles

Locations

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.

• Traci a Valentine

  • Marriage & Family Therapist
  • Woodbury, MN
  • NPI 1538407150
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1871815506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 152",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251015",
            "telephone_number": "651-373-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 152",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251015",
            "telephone_number": "651-373-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "TRACI",
        "middle_name": "ASTRID",
        "name_prefix": "Ms.",
        "credential": "M.ED., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Nur-Ayeisha Teves Ututalum
• Kelsey Elyse Clemson Vaca, PSYD LP
• Vadnais Heights Surgery Center LLC
• Alexandra Valdiviezo, DC
• Gavin L Valentia
• Valhalla Place Clinic, P.a.
• Valhalla Place, LLC
• Valley Chiropractic Clinic, LTD
• Valley Creek Family Dentistry
• Valley Crossing Community School

• Marriage & Family Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.