Alliance Community Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MFT & LCSW IN GROUP Issued in CA

Legal business name

ALLIANCE COMMUNITY COUNSELING CENTER

Practice address

1040 Lincoln Ave
San Jose, CA 95125-3150

Phone

(408) 293-4489

Fax

(408) 293-6188

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jan Kearny, PH.D.NPI 1083774343

Title

Director

Phone

(408) 293-4489

Specialties & licenses 1

Addresses

Other names 1

• Alliance Counseling Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan E Kearny, PH.D.

  • Clinical Psychologist
  • San Jose, CA
  • NPI 1083774343
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013087816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253150",
            "telephone_number": "408-293-4489",
            "fax_number": "408-293-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253150",
            "telephone_number": "408-293-4489",
            "fax_number": "408-293-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEARNY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-293-4489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFT & LCSW IN GROUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.