Jackelin Elliott

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

1401 Parkmoor Ave Ste 230
San Jose, CA 95126-3407

Phone

(408) 508-7700

NPI assigned

Nov 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1104299544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 ALHAMBRA DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365427",
            "telephone_number": "831-821-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE STE 230",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263407",
            "telephone_number": "408-508-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JACKELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Eller, M.D.
• Nutthagrita Vivian Eller, MS, CCC-SLP
• Elizabeth Elliot-Staggs, LMFT
• Anne Elizabeth Elliott, OTR/L
• David Elliott, MSW
• Kyle Eugene Elliott, D.C.
• Kyle M Elliott
• Monica A Elliott
• Peter Albert Elliott, MD
• Ricci Rene Elliott

• School Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.