Individual provider Active NPI

Zoila Wichmann, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1194273748
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113586 Issued in CA
Practice address
2577 Samaritan Dr Ste 715
San Jose, CA 95124-4103
Phone
(408) 962-9267
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113586 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr Ste 715
San Jose, CA 95124-4103

Mailing address

2577 Samaritan Dr Ste 715
San Jose, CA 95124-4103
Phone (408) 962-9267

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zoila@talkawhile.org Direct Talkawhile Child and Family Therapy Center PC

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

LicenseStateTypeSpecialty
113586CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkawhile Child and Family Therapy Center PC Marriage & Family Therapist CurrentSince Oct 13, 2019 Accepting new patients

Locations

2577 Samaritan Dr
Ste 715
San Jose, CA 95124
Phone (408) 358-8330

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.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194273748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 715",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244103",
            "telephone_number": "408-962-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 715",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244103",
            "telephone_number": "408-962-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHMANN",
        "first_name": "ZOILA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zoila@talkawhile.org",
            "affiliation": "Y",
            "affiliationName": "Talkawhile Child and Family Therapy Center PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2577 Samaritan Dr Ste 715",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951244103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.