Active NPI
Darice Katherine Funk, MFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1609946144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48842
- Practice address
- 411 Wainwright Ave
San Jose, CA 95128-2164 - Phone
- (408) 799-7008
- NPI assigned
- Nov 9, 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 | 48842 | CA | Primary |
Addresses
Primary practice location
411 Wainwright Ave
San Jose, CA 95128-2164
Mailing address
3141 Stevens Creek Blvd # 172
San Jose, CA 95117-1141
Other names 1
- Darice Katherine Ricker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.daricefunklmft.com | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48842 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Support Services for Youth | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Milpitas, CA
- NPI 1053774059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609946144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 STEVENS CREEK BLVD # 172",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WAINWRIGHT AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282164",
"telephone_number": "408-799-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "DARICE",
"middle_name": "KATHERINE",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.daricefunklmft.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "messaging",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "messaging",
"address_1": "411 Wainwright Ave",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951282164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DARICE",
"last_name": "RICKER",
"middle_name": "KATHERINE",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.