Active NPI
Phyllis Berschauyer Jenkins, MA,LMFT
- Professional Counselor
- San Jose, CA
National Provider Identifier
1447324991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MFC25592
- Practice address
- 1438 Hamilton Way
San Jose, CA 95125-4439 - Phone
- (408) 265-9200
- Fax
- (408) 265-9200
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFC25592 | CA | Primary |
Addresses
Primary practice location
1438 Hamilton Way
San Jose, CA 95125-4439
Mailing address
1438 Hamilton Way
San Jose, CA 95125-4439
Phone (408) 265-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC25592 | Other | CA | LMFT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25592 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447324991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 HAMILTON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951254439",
"telephone_number": "408-265-9200",
"fax_number": "408-265-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 HAMILTON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951254439",
"telephone_number": "408-265-9200",
"fax_number": "408-265-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "PHYLLIS",
"middle_name": "BERSCHAUYER",
"name_prefix": "Ms.",
"credential": "MA,LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "MFC25592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MFC25592",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.