Individual provider Active NPI

Rachel S Connett, AMFT, APCC

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1255985529
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
950 S Bascom Ave Ste 2010
San Jose, CA 95128-3538
Phone
(408) 341-9222
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

950 S Bascom Ave Ste 2010
San Jose, CA 95128-3538

Mailing address

695 Pine Ave
San Jose, CA 95125-1856
Phone (408) 480-3534

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nugent Family Counseling Center Inc Mental Health CurrentSince Jan 7, 2024 Accepting new patients

Locations

950 S Bascom Ave
Ste 2010
San Jose, CA 95128
Phone (408) 341-9222

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1255985529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PINE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251856",
            "telephone_number": "408-480-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 2010",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283538",
            "telephone_number": "408-341-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNETT",
        "first_name": "RACHEL",
        "middle_name": "S",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental 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 25, 2019; 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.