Active NPI
Josune Sullivan, LMFT
- Marriage & Family Therapist
- Mountain View, CA
National Provider Identifier
1417523549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96359
- Practice address
- 1299 Bryant Ave
Mountain View, CA 94040 - Phone
- (650) 940-4650
- NPI assigned
- May 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96359 | CA | Primary |
Addresses
Primary practice location
1299 Bryant Ave
Mountain View, CA 94040
Mailing address
4966 El Camino Real Ste 119
Los Altos, CA 94022-1406
Phone (650) 521-2999
Other practice location 1
4966 El Camino Real Ste 119
Los Altos, CA 94022-1406
Phone (650) 521-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96359 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1417523549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4966 EL CAMINO REAL STE 119",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221406",
"telephone_number": "650-521-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 BRYANT AVE",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-940-4650"
}
],
"practiceLocations": [
{
"address_1": "4966 El Camino Real Ste 119",
"address_purpose": "LOCATION",
"city": "Los Altos",
"state": "CA",
"postal_code": "940221406",
"country_code": "US",
"telephone_number": "650-521-2999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JOSUNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.