Active NPI
Zania Nicole Gray, AMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1225436181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100958
- Practice address
- 90 Great Oaks Blvd Ste 108
San Jose, CA 95119-1314 - Phone
- (408) 281-0708
- Fax
- (408) 842-0893
- NPI assigned
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | F1541204 | CA | |
| Marriage & Family Therapist | 106H00000X | 100958 | CA | Primary |
Addresses
Primary practice location
90 Great Oaks Blvd Ste 108
San Jose, CA 95119-1314
Mailing address
90 Great Oaks Blvd Ste 108
San Jose, CA 95119-1314
Phone (408) 281-0708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225436181 | Medicaid | CA |
Other names 1
- Zania Nicole Coleman
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
| License | State | Type | Specialty |
|---|---|---|---|
| F1541204 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1225436181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 GREAT OAKS BLVD STE 108",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191314",
"telephone_number": "408-281-0708",
"fax_number": "408-842-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GREAT OAKS BLVD STE 108",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191314",
"telephone_number": "408-281-0708",
"fax_number": "408-842-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ZANIA",
"middle_name": "NICOLE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "F1541204",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225436181",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ZANIA",
"last_name": "COLEMAN",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.