Active NPI
Valerie Ann Foster-Young, MFT
- Marriage & Family Therapist
- Lake Elsinore, CA
National Provider Identifier
1972633873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 35620
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202518 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 35620 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Eason PH D a Psychological Services Corporation | Past | 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.
-
- Psychologist
- Fullerton, CA
- NPI 1912684507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.