Individual provider Active NPI

Alyssa N Thompson Tolosa, LCSW

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1063044741
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88565 Issued in CA
Practice address
32 Ryland Park Dr
San Jose, CA 95110-2249
Phone
(408) 608-8063
NPI assigned
Feb 10, 2020
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88565 CA Primary

Addresses

Primary practice location

32 Ryland Park Dr
San Jose, CA 95110-2249

Mailing address

99 Almaden Blvd
San Jose, CA 95113-1610
Phone (408) 608-8063

Other identifiers 1

IdentifierTypeStateIssuer
88565OtherCALCSW LICENSE NUMBER

Other names 1

  • Alyssa N Thompson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SanJose Direct

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
88565CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1063044741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ALMADEN BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131610",
            "telephone_number": "408-608-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RYLAND PARK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102249",
            "telephone_number": "408-608-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON TOLOSA",
        "first_name": "ALYSSA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "88565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "88565",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SanJose",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32 Ryland Park Dr",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951102249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "THOMPSON",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 18, 2023; 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.