Active NPI
Christine Marie Raco
- Professional Counselor
- San Jose, CA
National Provider Identifier
1366092660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC13466
- Practice address
- 6203 San Ignacio Ave Ste 110
San Jose, CA 95119-1358 - Phone
- (408) 713-6434
- NPI assigned
- Sep 18, 2019
- 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 | LPCC13466 | CA | Primary |
Addresses
Primary practice location
6203 San Ignacio Ave Ste 110
San Jose, CA 95119-1358
Mailing address
6203 San Ignacio Ave Ste 110
PMB 1405
San Jose, CA 95119-1358
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 |
|---|---|---|---|
| LPCC13466 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1366092660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6203 SAN IGNACIO AVE STE 110",
"address_2": "PMB 1405",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 SAN IGNACIO AVE STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191358",
"telephone_number": "408-713-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACO",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2023-12-04",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC13466",
"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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.