MRS. MA LOURDES TAN SOLIVEN M.A.
NPI 1215658067
Marriage & Family Therapist in Peachtree Corners, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Ma Lourdes Soliven reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Ma Lourdes Soliven located?
Ma Lourdes Soliven practices at 5425 Peachtree Pkwy, Peachtree Corners, GA 30092. The listed phone number is (855) 850-0274.
What is Ma Lourdes Soliven's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Ma Lourdes Soliven enrolled in Medicare?
Yes. Ma Lourdes Soliven is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ma Lourdes Soliven's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ma Lourdes Soliven reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ma Lourdes Soliven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ma Lourdes Soliven was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Ma Lourdes Tan Soliven, M.A. · NPI 1215658067
Marriage & Family Therapist provider in Peachtree Corners, Georgia. Individual provider, active in the CMS NPPES registry since September 9, 2022.
## Identity
- **NPI:** 1215658067 (Entity type: Individual)
- **Enumerated:** September 9, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 163749 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5425 PEACHTREE PKWY, Peachtree Corners, GA 30092-6536
- **Phone:** (855) 850-0274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215658067) · Data from the CMS NPPES public registry.