Individual provider Active NPI

Geoff Julian Nugent Jr., PH.D.

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1376770859
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFCC #47549 Issued in CA
Practice address
950 S Bascom Ave
Suite 2005
San Jose, CA 95128-3536
Phone
(408) 903-6425
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC # 221 CA
Marriage & Family Therapist 106H00000X MFCC #47549 CA Primary

Addresses

Primary practice location

950 S Bascom Ave
Suite 2005
San Jose, CA 95128-3536

Mailing address

950 S Bascom Ave
Suite 2005
San Jose, CA 95128-3536
Phone (408) 903-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240216001035 NV Practitioner - Marriage and Family Therapist 3577907658 Reassigns benefits to 1 organization
I20240905001078 CA Practitioner - Marriage and Family Therapist 3577907658 Reassigns benefits to 1 organization
I20240923000636 TX Practitioner - Marriage and Family Therapist 3577907658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nugent Family Counseling Center Inc.Group PAC ID 2668816745, 6 clinicians

Practice addresses (Care Compare)

1603 Babcock Rd
Suite 238
San Antonio, TX 78229-4741
Phone (408) 341-9222

500 Damonte Ranch Pkwy
Suite 735
Reno, NV 89521-3964
Phone (775) 453-0765

950 S Bascom Ave
Suite 2010
San Jose, CA 95128-3538
Phone (408) 341-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC # 221CAMDProfessional Counselor
MFCC #47549CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nugent Family Counseling Center Inc Marriage & Family Therapist CurrentSince Jan 1, 2015 Accepting new patients
Community First LLC PastSince Jan 1, 2024 Accepting new patients

Locations

950 S Bascom Ave
Ste 2005
San Jose, CA 95128
Phone (408) 641-0576

950 S Bascom Ave
Ste 2010
San Jose, CA 95128
Phone (408) 341-9222

500 Damonte Ranch Pkwy
Ste 735
Reno, NV 89521
Phone (408) 341-9222

10789 Double R Blvd
Ste 102
Reno, NV 89521
Phone (775) 453-0765

1603 Babcock Rd
Ste 238
San Antonio, TX 78229
Phone (210) 245-6436

Organizations & group practices 2

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1376770859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE",
            "address_2": "SUITE 2005",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283536",
            "telephone_number": "408-903-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE",
            "address_2": "SUITE 2005",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283536",
            "telephone_number": "408-903-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "GEOFF",
        "middle_name": "JULIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC # 221",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC #47549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.