Individual provider Active NPI

Alexis Vangaard

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1497619472
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158301 Issued in CA
Practice address
950 S Bascom Ave Ste 1014
San Jose, CA 95128-3537
Phone
(408) 471-4261
NPI assigned
Dec 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 158301 CA Primary

Addresses

Primary practice location

950 S Bascom Ave Ste 1014
San Jose, CA 95128-3537

Mailing address

950 S Bascom Ave Ste 1014
San Jose, CA 95128-3537

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

State licenses

LicenseStateTypeSpecialty
158301CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob'S Ladder Therapies CurrentSince Dec 14, 2025 Accepting new patients

Locations

950 S Bascom Ave
Ste 1014
San Jose, CA 95128
Phone (408) 471-4261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1497619472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 1014",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 1014",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283537",
            "telephone_number": "408-471-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGAARD",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158301",
            "primary": true
        }
    ],
    "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 Dec 12, 2025; 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.