Individual provider Active NPI

Lemel Ruth Firestone-Palerm, MA

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1639393465
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42162 Issued in CA
Practice address
1190 Lincoln Ave Ste 6
San Jose, CA 95125-3036
Phone
(626) 221-8632
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1534 CA
Marriage & Family Therapist 106H00000X 42162 CA Primary

Addresses

Primary practice location

1190 Lincoln Ave Ste 6
San Jose, CA 95125-3036

Mailing address

1190 Lincoln Ave Ste 6
San Jose, CA 95125-3036
Phone (626) 221-8632

Other names 1

  • Lemel Ruth Firestone Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
42162CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1639393465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 LINCOLN AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253036",
            "telephone_number": "626-221-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 LINCOLN AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253036",
            "telephone_number": "626-221-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE-PALERM",
        "first_name": "LEMEL",
        "middle_name": "RUTH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1534",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEMEL",
            "last_name": "FIRESTONE",
            "middle_name": "RUTH",
            "credential": "MA",
            "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 Aug 7, 2019; 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.