Individual provider Active NPI

Liqin Jiang

  • Marriage & Family Therapist
  • Morgan Hill, CA
National Provider Identifier
1275164790
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
16275 Monterey Rd Ste C
Morgan Hill, CA 95037-5466
Phone
(408) 778-5120
Fax
(408) 778-9917
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

16275 Monterey Rd Ste C
Morgan Hill, CA 95037-5466

Mailing address

16275 Monterey Rd Ste C
Morgan Hill, CA 95037-5466
Phone (408) 778-5120

Other practice location 1

21710 Stevens Creek Blvd Ste 105
Cupertino, CA 95014-1179
Phone (408) 778-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000758 CA Practitioner - Marriage and Family Therapist 5799256962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21710 Stevens Creek Blvd
Suite 105
Cupertino, CA 95014-1179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Counseling Center Marriage & Family Therapist Past Accepting new patients

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1275164790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD STE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-778-5120",
            "fax_number": "408-778-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD STE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-778-5120",
            "fax_number": "408-778-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21710 Stevens Creek Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950141179",
            "country_code": "US",
            "telephone_number": "408-778-5120",
            "fax_number": "408-778-9917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "LIQIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.