Active NPI
Justin Lorick
- Counselor
- San Jose, CA
National Provider Identifier
1013645662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 777 N 1St St Ste 444
San Jose, CA 95112-6339 - Phone
- (408) 240-0070
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
777 N 1St St Ste 444
San Jose, CA 95112-6339
Mailing address
777 N 1St St Ste 444
San Jose, CA 95112-6339
Phone (408) 240-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1013645662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N 1ST ST STE 444",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126339",
"telephone_number": "408-240-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N 1ST ST STE 444",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126339",
"telephone_number": "408-240-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORICK",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
- Nathanael Turner Lorenc
- Rina A. Lorento, LPT
- Mackenzie Lorenzato
- Gregory Scott Lorenzi
- Lori Chung Cho DMD Inc.
- Dominika Lorincik
- Los Gatos Surgical Center, a California Limited Partnership (Endoscopy Center of Silicon Valley)
- Los Gatos Therapy Center (LGTC Group)
- Los Gatos Therapy Center (LGTC Cambrian)
- Los Gatos Therapy Center (LGTC Willow Glen)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.