Sharla Ruth Kibel, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MCC 27284 Issued in CA

Practice address

4525 Union Ave
San Jose, CA 95124-3530

Phone

(408) 558-5460

Fax

(408) 558-5571

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharla Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649301235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243530",
            "telephone_number": "408-558-5460",
            "fax_number": "408-558-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243530",
            "telephone_number": "408-558-5460",
            "fax_number": "408-558-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBEL",
        "first_name": "SHARLA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MCC 27284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARLA",
            "last_name": "GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.