Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MA LOURDES TAN SOLIVEN M.A.
NPI 1215658067
Marriage & Family Therapist in Peachtree Corners, GA

Q: What is Ma Lourdes Soliven's NPI number?

The NPI number for Ma Lourdes Soliven is 1215658067. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Ma Lourdes Soliven's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since September 09, 2022PECOS Enrolled

5425 PEACHTREE PKWY, PEACHTREE CORNERS, GA 30092(855) 850-0274 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Aug 14, 2024, Sep 9, 2022 (3 updates tracked since 2022).

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About Mrs. Ma Lourdes Tan Soliven M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MA LOURDES TAN SOLIVEN M.A. (NPI 1215658067) is an individual marriage & family therapist in Peachtree Corners, Georgia, licensed in California (163749) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215658067

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. MA LOURDES TAN SOLIVENCredential: M.A.

Location Address5425 PEACHTREE PKWYPeachtree Corners, GA 30092-6536

Mailing AddressPo Box 1635Norwalk, CA 90651-1635 · (562) 414-4870

Phone(855) 850-0274

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 9, 2022

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1215658067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 163749

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5425 PEACHTREE PKWY, Peachtree Corners, GA 30092

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ma Lourdes Tan Soliven M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476026436

PECOS Enrollment IDI20260622003807

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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