Individual provider Active NPI

Valerie Ann Foster-Young, MFT

  • Marriage & Family Therapist
  • Lake Elsinore, CA
National Provider Identifier
1972633873
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 35620 Issued in CA
Practice address
16738 Lakeshore Dr Ste H-330
Lake Elsinore, CA 92530-4930
Phone
(951) 291-0255
Fax
(951) 291-0455
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 35620 CA Primary

Addresses

Primary practice location

16738 Lakeshore Dr Ste H-330
Lake Elsinore, CA 92530-4930

Mailing address

16738 Lakeshore Dr Ste H-330
Lake Elsinore, CA 92530-4930
Phone (951) 291-0255

Other identifiers 1

IdentifierTypeStateIssuer
202518OtherTXTEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPIES

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 26, 2024 through Jan 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 35620CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E Eason PH D a Psychological Services Corporation PastSince May 21, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1972633873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16738 LAKESHORE DR STE H-330",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304930",
            "telephone_number": "951-291-0255",
            "fax_number": "951-291-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16738 LAKESHORE DR STE H-330",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304930",
            "telephone_number": "951-291-0255",
            "fax_number": "951-291-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-YOUNG",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 35620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPIES",
            "identifier": "202518",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.