Individual provider Active NPI

Alyx Michele Duckering

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1699341396
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
15885 Los Gatos Almaden Rd
Los Gatos, CA 95032-3803
Phone
(408) 409-4167
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

15885 Los Gatos Almaden Rd
Los Gatos, CA 95032-3803

Mailing address

5560 Lexington Ave Apt 278
San Jose, CA 95123-4149
Phone (909) 744-2412

Other practice location 1

2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Phone (800) 913-2615

Other practice location 2

101 E Redlands Blvd Ste 215
Redlands, CA 92373-4724
Phone (909) 793-1078

Other practice location 3

917 Irving St
San Francisco, CA 94122-2224
Phone (415) 967-3447

Other practice location 4

1331 Irving Street
San Francisco, CA 94122
Phone (415) 967-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2026 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alira Family Therapy Group, Inc. CurrentSince Oct 9, 2022 Accepting new patients
Therapy Inmotion Inc. CurrentSince Oct 9, 2022 Accepting new patients

Locations

15885 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 334-3420

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1699341396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 LEXINGTON AVE APT 278",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234149",
            "telephone_number": "909-744-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15885 LOS GATOS ALMADEN RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323803",
            "telephone_number": "408-409-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 S Bascom Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950085541",
            "country_code": "US",
            "telephone_number": "800-913-2615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Redlands Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734724",
            "country_code": "US",
            "telephone_number": "909-793-1078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Irving St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941222224",
            "country_code": "US",
            "telephone_number": "415-967-3447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 Irving Street",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94122",
            "country_code": "US",
            "telephone_number": "415-967-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCKERING",
        "first_name": "ALYX",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.