Individual provider Active NPI

Jacqueline Silva Armes, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1114190386
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52139 Issued in CA
Practice address
200 S 3Rd St
San Jose, CA 95112-3679
Phone
(408) 617-8097
Fax
(408) 351-6500
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 52139 CA Primary

Addresses

Primary practice location

200 S 3Rd St
San Jose, CA 95112-3679

Mailing address

PO Box 720995
San Jose, CA 95172-0995
Phone (408) 617-8097

Other names 1

  • Jacqueline Silva Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.initiativetherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52139CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1114190386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720995",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951720995",
            "telephone_number": "408-617-8097",
            "fax_number": "408-351-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123679",
            "telephone_number": "408-617-8097",
            "fax_number": "408-351-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMES",
        "first_name": "JACQUELINE",
        "middle_name": "SILVA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.initiativetherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 S 3rd St",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951123679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SILVA",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.