Active NPI
Ashley Obrero
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1093168742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140679
- Practice address
- 232 E Gish Rd
San Jose, CA 95112-4706 - Phone
- (669) 302-9937
- NPI assigned
- Jul 18, 2016
- Reactivated
- Jul 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 140679 | CA | Primary |
Addresses
Primary practice location
232 E Gish Rd
San Jose, CA 95112-4706
Mailing address
1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone (510) 426-6149
Other practice location 1
1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone (510) 426-6149
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 |
|---|---|---|---|
| 140679 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Learning and Autism Support Services, Inc. | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- San Mateo, CA
- NPI 1417139288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1093168742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 PARK AVE STE 250",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262030",
"telephone_number": "510-426-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706",
"telephone_number": "669-302-9937"
}
],
"practiceLocations": [
{
"address_1": "1769 Park Ave Ste 250",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951262030",
"country_code": "US",
"telephone_number": "510-426-6149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRERO",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"deactivation_date": "2024-06-13",
"reactivation_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140679",
"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 Jul 19, 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.