Colette Geraldine Dile Krinock, MSP, MACP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT130154 Issued in CA

Practice address

1671 The Alameda Ste 201
San Jose, CA 95126-2222

Phone

(408) 758-0973

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1144972092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NEWHALL ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261035",
            "telephone_number": "408-396-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "408-758-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILE KRINOCK",
        "first_name": "COLETTE",
        "middle_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "MSP, MACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT130154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 21, 2022; 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.