Individual provider Active NPI

Leslie Sherman, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1023730553
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130852 Issued in CA
Practice address
3190 S Bascom Ave Ste 180
San Jose, CA 95124-2568
Phone
(650) 200-3063
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 130852 CA Primary

Addresses

Primary practice location

3190 S Bascom Ave Ste 180
San Jose, CA 95124-2568

Mailing address

1840 41St Ave Ste 102-289
Capitola, CA 95010-2513
Phone (650) 269-6010

Other practice location 1

885 Oak Grove Ave Ste 204
Menlo Park, CA 94025-4441
Phone (650) 200-3063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130852CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1023730553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 41ST AVE STE 102-289",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102513",
            "telephone_number": "650-269-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S BASCOM AVE STE 180",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242568",
            "telephone_number": "650-200-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Oak Grove Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254441",
            "country_code": "US",
            "telephone_number": "650-200-3063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "LESLIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.