Active NPI
Jenni'Fer Banks-Chapman
- Professional Counselor
- San Jose, CA
National Provider Identifier
1023730124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15792
- Practice address
- 160 E Virginia St Ste 100
San Jose, CA 95112-5865 - Phone
- (408) 938-2113
- Fax
- (408) 579-6143
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Pastoral Counselor | 101YP1600X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 15792 | CA | Primary |
Addresses
Primary practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Mailing address
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone (408) 938-2113
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lperez@gfhn.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15792 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1023730124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125865",
"telephone_number": "408-938-2113",
"fax_number": "408-579-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125865",
"telephone_number": "408-938-2113",
"fax_number": "408-579-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS-CHAPMAN",
"first_name": "JENNI'FER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15792",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lperez@gfhn.org",
"affiliation": "N",
"address_1": "160 E Virginia St Ste 100",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951125865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.