Christine Lee

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC77114 Issued in CA

Legal business name

CHRISTINE LEE

Practice address

3880 S Bascom Ave Ste 202
San Jose, CA 95124-2675

Phone

(408) 535-0162

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christine Lee, M.A. MFTNPI 1548414766

Title

Sole Proprieter

Phone

(408) 535-0162

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Myung Sung Lee, MA MFT

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1548414766
  Authorized official Same address or phone

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1063889764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-535-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-535-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "408-535-0162",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC77114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Foglar, MD, Inc.
• Christian Hoai Nguyen DDS Inc . (Acclaim Dental Care)
• Clifford Nels Christian, PH.D.
• Danielle Renee Christian
• Dominique Nicole Christie
• Christine W. Liu, DDS, Inc.
• Christine Y Lee Dental Corporation (Lee Dental Studios)
• Christopher Nguyen DO MD a Professional Corporation
• Cheryl Christopher
• Alexandria Christopulos, MA, BA, AA

• Mental Health Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.