Individual provider Active NPI

Alice Bui, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1013358845
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103013 Issued in CA
Practice address
1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone
(408) 365-4238
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 103013 CA Primary

Addresses

Primary practice location

1769 Park Ave Ste 250
San Jose, CA 95126-2030

Mailing address

1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone (408) 365-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310000473 CA Practitioner - Marriage and Family Therapist 4082196159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1769 Park Ave
Suite 250
San Jose, CA 95126-2025

1769 Park Ave
Suite 250
San Jose, CA 95126-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103013CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Disruptive Therapy Collective for the Individual, Family, and Child CurrentSince Dec 17, 2025 Accepting new patients
Disruptive Therapy Collective Current Accepting new patients

Locations

1769 Park Ave
Ste 250
San Jose, CA 95126
Phone (408) 365-4238

Organizations & group practices 2

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1013358845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 PARK AVE STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262030",
            "telephone_number": "408-365-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 PARK AVE STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262030",
            "telephone_number": "408-365-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "ALICE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.