Active NPI
Jessica Daneen Kas-Osoka, ASW
- Mental Health Counselor
- Gilroy, CA
National Provider Identifier
1679939839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9015 Murray Ave
Gilroy, CA 95020-3673 - Phone
- (408) 842-7138
- NPI assigned
- Jan 4, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 74289 | CA | |
| School Social Worker | 1041S0200X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9015 Murray Ave
Gilroy, CA 95020-3673
Mailing address
1887 Monterey Hwy Ste 205
San Jose, CA 95112-6192
Phone (408) 510-3480
Other practice location 1
1401 Parkmoor Ave
San Jose, CA 95126-3403
Phone (408) 510-3480
Other practice location 2
1401 Parkmoor Ave
San Jose, CA 95126-3403
Phone (408) 510-3480
Other practice location 3
1401 Parkmoor Ave
San Jose, CA 95126
Phone (408) 510-3480
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 |
|---|---|---|---|
| 74289 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1679939839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 MONTEREY HWY STE 205",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126192",
"telephone_number": "408-510-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 MURRAY AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950203673",
"telephone_number": "408-842-7138"
}
],
"practiceLocations": [
{
"address_1": "1401 Parkmoor Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951263403",
"country_code": "US",
"telephone_number": "408-510-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Parkmoor Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951263403",
"country_code": "US",
"telephone_number": "408-510-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Parkmoor Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95126",
"country_code": "US",
"telephone_number": "408-510-3480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAS-OSOKA",
"first_name": "JESSICA",
"middle_name": "DANEEN",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2020-12-02",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "74289",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.