Individual provider Active NPI

Patricia Lee Ann Varalo

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1609606375
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
96616 Issued in CA
Practice address
322 Piercy Rd Ste E
San Jose, CA 95138-1401
Phone
(510) 875-7721
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 96616 CA Primary

Addresses

Primary practice location

322 Piercy Rd Ste E
San Jose, CA 95138-1401

Mailing address

322 Piercy Rd Ste E
San Jose, CA 95138-1401
Phone (510) 875-7721

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1609606375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 PIERCY RD STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381401",
            "telephone_number": "510-875-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 PIERCY RD STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381401",
            "telephone_number": "510-875-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARALO",
        "first_name": "PATRICIA",
        "middle_name": "LEE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "96616",
            "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 Aug 6, 2024; 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.