Active NPI
Carmen J. Frank, LMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1285245431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC25477
- Practice address
- 913 Willow St.
Suite 103
San Jose, CA 95125 - Phone
- (408) 247-9779
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC25477 | CA | Primary |
Addresses
Primary practice location
913 Willow St.
Suite 103
San Jose, CA 95125
Mailing address
913 Willow St.
Suite 103
San Jose, CA 95125
Phone (408) 247-9779
Other names 1
- Carmen J. Frank-Van Etten
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25477 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1285245431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 WILLOW ST.",
"address_2": "SUITE 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95125",
"telephone_number": "408-247-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 WILLOW ST.",
"address_2": "SUITE 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95125",
"telephone_number": "408-247-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "CARMEN",
"middle_name": "J.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC25477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "FRANK-VAN ETTEN",
"middle_name": "J.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
- Ashlynn Michelle Frandsen
- Frank D Tran DDS Professional Dental Corp. (Excel Dental Implant Center)
- Frank D. Shin, MD, Inc
- Frank Dan Tran Dental Corporation (Marina Dental Center)
- Frank Fook Y. Wong, MD, Inc.
- Emanuel Frank, M.D.
- Kristen Frank, MFT
- Suzanne Margaret Frank, MD
- Floro James Felina Frankera
- Franklin a Rumore M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.