Active NPI
Kaye-Ailsa F Rowan, LMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1508933508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT47779
- Practice address
- 4010 Moorpark Ave Ste 118
San Jose, CA 95117-1804 - Phone
- (408) 390-3680
- Fax
- (408) 503-6853
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT47779 | CA | Primary |
Addresses
Primary practice location
4010 Moorpark Ave Ste 118
San Jose, CA 95117-1804
Mailing address
4010 Moorpark Ave Ste 118
San Jose, CA 95117-1804
Phone (408) 390-3680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41824 | Other | CA | SANTA CLARA COUNTY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT47779 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1508933508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 MOORPARK AVE STE 118",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171804",
"telephone_number": "408-390-3680",
"fax_number": "408-503-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 MOORPARK AVE STE 118",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171804",
"telephone_number": "408-390-3680",
"fax_number": "408-503-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "KAYE-AILSA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT47779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CLARA COUNTY ID",
"identifier": "41824",
"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 Jun 22, 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.