Active NPI
Jose Theresita Arockia-Dass, LMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1639727514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139096
- Practice address
- 1555 Parkmoor Ave
San Jose, CA 95128-2407 - Phone
- (408) 282-0402
- NPI assigned
- Sep 3, 2019
- Last updated
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | AMFT113681 | CA | |
| Marriage & Family Therapist | 106H00000X | 139096 | CA | Primary |
Addresses
Primary practice location
1555 Parkmoor Ave
San Jose, CA 95128-2407
Mailing address
PO Box 127
Napa, CA 94559-0127
Phone (707) 255-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139096 | Other | CA | CALIFORNIA BOARD OF BEHAVIOR SCIENCES |
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 |
|---|---|---|---|
| AMFT113681 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Services | Current | Accepting new patients | |
| Hope Services | Mental Health | Current | Accepting new patients |
| Los Gatos Therapy Center | Past | Accepting new patients | |
| WK Medical Group | Marriage & Family Therapist | Past | Accepting new patients |
| LGTC Group | Marriage & Family Therapist | Past | Accepting new patients |
Locations
1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Mountain View, CA
- NPI 1043571730
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1881482941
-
dba LGTC Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1639727514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "NAPA",
"state": "CA",
"postal_code": "945590127",
"telephone_number": "707-255-3300",
"fax_number": "707-255-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 PARKMOOR AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282407",
"telephone_number": "408-282-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AROCKIA-DASS",
"first_name": "JOSE THERESITA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT113681",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIOR SCIENCES",
"identifier": "139096",
"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 Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.