NPIMap

Organization Active NPI

Alum Rock Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1376902114
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALUM ROCK COUNSELING CENTER, INC.
Practice address
2800 Ocala Ave
San Jose, CA 95148-1114
Phone
(408) 240-0070
NPI assigned
Feb 22, 2016
Organization subpart
Yes
Parent organization
ALUM ROCK COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Veronica Melgoza Gamboa, LMFT
Title
Coo
Phone
(408) 771-1734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2800 Ocala Ave
San Jose, CA 95148-1114

Mailing address

1245 E Santa Clara St
San Jose, CA 95116-2337
Phone (408) 240-0070

Other identifiers 1

IdentifierTypeStateIssuer
1215268388MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Alum Rock Counseling Center Inc35 organizations share this tax ID, including this one
Part of
Alum Rock Counseling Center Inc

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2800 Ocala Ave
San Jose, CA 95148

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1376902114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162337",
            "telephone_number": "408-240-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 OCALA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481114",
            "telephone_number": "408-240-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALUM ROCK COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALUM ROCK COUNSELING CENTER, INC.",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MELGOZA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "408-771-1734",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215268388",
            "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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.