Individual provider Active NPI

Amy Elizabeth Powell

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1043421415
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42915 Issued in CA
Practice address
1685 Westwood Dr Ste 6
San Jose, CA 95125-5104
Phone
(408) 369-9800
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 42915 CA Primary

Addresses

Primary practice location

1685 Westwood Dr Ste 6
San Jose, CA 95125-5104

Mailing address

1685 Westwood Dr Ste 6
San Jose, CA 95125-5104
Phone (408) 369-9800

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

LicenseStateTypeSpecialty
42915CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Love Therapy, Inc. Marriage & Family Therapist CurrentSince Mar 1, 2020 Accepting new patients

Locations

3880 S Bascom Ave
Ste 208
San Jose, CA 95124
Phone (408) 377-8100

1685 Westwood Dr
Ste 6
San Jose, CA 95125
Phone (858) 353-3345

Organizations & group practices 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1043421415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 WESTWOOD DR STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255104",
            "telephone_number": "408-369-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 WESTWOOD DR STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255104",
            "telephone_number": "408-369-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 16, 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.

Verify at the official NPI Registry.