Individual provider Active NPI

Teri Bach, MFT

  • Mental Health Counselor
  • Santa Clara, CA
National Provider Identifier
1265532790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC27660 Issued in CA
Practice address
100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520
Phone
(925) 890-3366
Fax
(925) 829-6665
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC27660 CA Primary

Addresses

Primary practice location

100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520

Mailing address

100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520
Phone (925) 890-3366

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
MFC27660CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265532790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WINCHESTER BLVD",
            "address_2": "SUITE 264",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506520",
            "telephone_number": "925-890-3366",
            "fax_number": "925-829-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WINCHESTER BLVD",
            "address_2": "SUITE 264",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506520",
            "telephone_number": "925-890-3366",
            "fax_number": "925-829-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "TERI",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC27660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.