Organization Active NPI

Brain Mind Wellness Professional Clinical Counselors Inc.

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1225764046
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BRAIN MIND WELLNESS PROFESSIONAL CLINICAL COUNSELORS INC.
Practice address
1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914
Phone
(408) 583-5099
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Niina NovakNPI 1770009953
Title
Ceo
Phone
(408) 583-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914

Mailing address

1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914
Phone (408) 583-5099

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste A103
San Jose, CA 95128
Phone (408) 390-4792

4340 Stevens Creek Blvd
Ste 108
San Jose, CA 95129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1225764046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE A103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914",
            "telephone_number": "408-583-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE A103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914",
            "telephone_number": "408-583-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MIND WELLNESS PROFESSIONAL CLINICAL COUNSELORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "NIINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-583-5099"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Sep 9, 2026; 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.