Active NPI
Lisa Giovannetti, LPCC
- Professional Counselor
- San Jose, CA
National Provider Identifier
1285833111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 07-039
- Practice address
- 484 E San Fernando St
San Jose, CA 95112-3513 - Phone
- (408) 293-0422
- Fax
- (408) 277-2474
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 07-039 | CA | Primary |
Addresses
Primary practice location
484 E San Fernando St
San Jose, CA 95112-3513
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-3503
Other practice location 1
2300 California St Ste 103
San Francisco, CA 94115-2754
Phone (415) 600-3503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC636 | Other | CA | LICENSED PROFESSIONAL CLINICAL COUNCELOR |
| 109525 | Other | CA | SAN JOSE CITY ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07-039 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1285833111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-3503",
"fax_number": "415-639-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 E SAN FERNANDO ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123513",
"telephone_number": "408-293-0422",
"fax_number": "408-277-2474"
}
],
"practiceLocations": [
{
"address_1": "2300 California St Ste 103",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941152754",
"country_code": "US",
"telephone_number": "415-600-3503",
"fax_number": "415-369-1382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIOVANNETTI",
"first_name": "LISA",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "07-039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL CLINICAL COUNCELOR",
"identifier": "LPCC636",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN JOSE CITY ID",
"identifier": "109525",
"state": "CA"
}
],
"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 12, 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.