Mica Cosby, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

146944 Issued in CA

Practice address

3880 S Bascom Ave Ste 202
San Jose, CA 95124-2675

Phone

(408) 502-6259

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 16, 2026 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1235978800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 G STREET STE 125",
            "address_2": "PMB 286",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "650-380-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-502-6259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Le Grand",
            "state": "CA",
            "postal_code": "953339631",
            "country_code": "US",
            "telephone_number": "650-380-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSBY",
        "first_name": "MICA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Margarette Cortez
• Xavier Cagadas Cortez
• Alyssa Antonia Cortinas
• Laura L Cortinas
• Cory a. Timbers, DDS, Inc.
• Joshua Coss
• Cheyenne Grace Costa
• Danielle Costa
• Jennifer Costa, OTR/L
• Joseph Costa, O.D.

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.