Deborah A. Licurse, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

42830 Issued in CA

Practice address

1144 S Winchester Blvd
Ste. C
San Jose, CA 95128-3909

Phone

(408) 774-1009

Fax

(408) 249-2941

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Deborah Licurse Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevate Counseling Center, LLC

  • Mental Health Counselor
  • Santa Clara, CA
  • NPI 1770169633
  NPD Authorized official
• Peace-It-Together

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1982853305
  NPD Authorized official
• Elevate Family Counseling Center PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clara, CA
  • NPI 1508457177
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457487670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 S WINCHESTER BLVD",
            "address_2": "STE. C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283909",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 S WINCHESTER BLVD",
            "address_2": "STE. C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283909",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICURSE",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "LICURSE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose Renato Libunao II, AU.D.
• Daniela Isabel Licea Hernandez
• Maria Charisma Sideco Liceralde, APRN, PMHNP, BC
• Maria Jacqueline Licon Herrera
• Fahrial Caballes Licudo, PT, DPT
• Connie Maye Liden, MA MFCC
• An K. Lie, MD
• Victoria Lieb
• Greta Jones Liebelt, NP
• Jennie Liebermann, RN

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• 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.

Verify at the official NPI Registry.