Individual provider Active NPI

Claire Jeanette McKeefry

  • Professional Counselor
  • San Jose, CA
National Provider Identifier
1649829912
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APCC9025 Issued in CA
Practice address
6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Phone
(669) 220-1905
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC9025 CA Primary

Addresses

Primary practice location

6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371

Mailing address

6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Phone (669) 220-1905

Other practice location 1

10776 Fremont St
Yucaipa, CA 92399-9630
Phone (909) 797-0114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710001451 CA Practitioner - Mental Health Counselor 8123532165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Health Licensed Clinical Social Worker IncGroup PAC ID 3971954215, 6 clinicians

Practice addresses (Care Compare)

1775 Woodside Rd
Suite 301
Redwood City, CA 94061-3458
Phone (650) 456-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC9025CAMDProfessional Counselor
18511CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Health Licensed Clinical Social Worker Inc. CurrentSince Mar 10, 2025 Accepting new patients
Trinity Youth Services PastSince Sep 1, 2019 Accepting new patients

Locations

1775 Woodside Rd
Ste 203
Redwood City, CA 94061
Phone (415) 867-1419

1775 Woodside Rd
Ste 301
Redwood City, CA 94061
Phone (650) 262-1105

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1649829912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 SAN IGNACIO AVE STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191371",
            "telephone_number": "669-220-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 SAN IGNACIO AVE STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191371",
            "telephone_number": "669-220-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10776 Fremont St",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "923999630",
            "country_code": "US",
            "telephone_number": "909-797-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEEFRY",
        "first_name": "CLAIRE",
        "middle_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.