Active NPI
Lisa Macias
- Counselor
- San Jose, CA
National Provider Identifier
1407231434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1514 Cherry Ave
San Jose, CA 95125-3803 - Phone
- (408) 406-2939
- NPI assigned
- Jul 20, 2015
- Reactivated
- Jan 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1514 Cherry Ave
San Jose, CA 95125-3803
Mailing address
1514 Cherry Ave
San Jose, CA 95125-3803
Phone (408) 406-2939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 31, 2025 through Mar 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1407231434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 CHERRY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253803",
"telephone_number": "408-406-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 CHERRY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253803",
"telephone_number": "408-406-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"deactivation_date": "2018-03-27",
"reactivation_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 18, 2021; 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.