Individual provider Active NPI

Alex Lerza, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1548667678
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
83946 Issued in CA
Practice address
3880 S Bascom Ave
Suite 217
San Jose, CA 95124-2674
Phone
(408) 800-6629
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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 83946 CA Primary

Addresses

Primary practice location

3880 S Bascom Ave
Suite 217
San Jose, CA 95124-2674

Mailing address

3880 S Bascom Ave
Suite 202
San Jose, CA 95124-2674
Phone (408) 800-6629

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
83946CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy and Recovery Inc Marriage & Family Therapist Current Accepting new patients

Locations

3880 S Bascom Ave
Ste 216
San Jose, CA 95124
Phone (408) 236-2111

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1548667678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE",
            "address_2": "SUITE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242674",
            "telephone_number": "408-800-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE",
            "address_2": "SUITE 217",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242674",
            "telephone_number": "408-800-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERZA",
        "first_name": "ALEX",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83946",
            "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 4, 2014; 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.