NPIMap

Organization Active NPI

Alum Rock Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1154150449
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALUM ROCK COUNSELING CENTER, INC.
Practice address
2475 Van Winkle LN
San Jose, CA 95116-3758
Phone
(408) 928-7650
NPI assigned
Jul 26, 2024
Organization subpart
Yes
Parent organization
ALUM ROCK COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Veronica Melgoza Gamboa, LMFT
Title
Chief Operating Officer
Phone
(408) 771-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2475 Van Winkle LN
San Jose, CA 95116-3758

Mailing address

1245 E Santa Clara St
San Jose, CA 95116-2337
Phone (408) 294-0500

National Provider Directory

National Provider Directory
Tax ID family
Alum Rock Counseling Center Inc35 organizations share this tax ID, including this one
Part of
Alum Rock Counseling Center Inc

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2475 Van Winkle Ln
San Jose, CA 95116
Phone (408) 928-7650

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1154150449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162337",
            "telephone_number": "408-294-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 VAN WINKLE LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163758",
            "telephone_number": "408-928-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALUM ROCK COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALUM ROCK COUNSELING CENTER, INC.",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MELGOZA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "408-771-1734",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 26, 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.

Verify at the official NPI Registry.