Active NPI
Kapila Ethenmoo Venkataraman, MFT
- Mental Health Counselor
- Campbell, CA
National Provider Identifier
1699512384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 147135
- Practice address
- 901 Campisi Way Ste 350
Campbell, CA 95008-2349 - Phone
- (408) 337-2264
- NPI assigned
- Jul 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 147135 | CA | Primary |
Addresses
Primary practice location
901 Campisi Way Ste 350
Campbell, CA 95008-2349
Mailing address
PO Box 3169
Santa Clara, CA 95055-3169
Phone (408) 337-2264
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 |
|---|---|---|---|
| 147135 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1699512384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3169",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950553169",
"telephone_number": "408-337-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPISI WAY STE 350",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082349",
"telephone_number": "408-337-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATARAMAN",
"first_name": "KAPILA",
"middle_name": "ETHENMOO",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "147135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.