Meng Chang Licensed Marriage and Family Therapist

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MENG CHANG LICENSED MARRIAGE AND FAMILY THERAPIST

Practice address

1174 Lincoln Ave Ste 8
San Jose, CA 95125-3029

Phone

(408) 916-3463

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Meng Chang, LMFTNPI 1467775973

Title

Owner/Ceo

Phone

(408) 916-3463

Specialties & licenses 2

Addresses

Other names 1

• Jackie Chang Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meng Chang, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1467775973
  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1659985240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 LINCOLN AVE STE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253029",
            "telephone_number": "408-916-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 LINCOLN AVE STE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253029",
            "telephone_number": "408-916-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENG CHANG LICENSED MARRIAGE AND FAMILY THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MENG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "408-916-3463",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackie Chang Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anisha Menezes
• Eunice Kay Menezes, LCSW
• Jeffrey John Menezes, LCSW
• Jennifer Kay Menezes
• Poonam Hajare Menezes, OTR
• Meng Syn DDS
• Kate Meng
• Lu Meng
• Melissa Lau Meng, OD
• Phara Meng

• 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 Sep 2, 2020; 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.