Individual provider Active NPI

Giana Rose Kooger, LMFT

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1720318132
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2495 W March LN
Suite 125
Stockton, CA 95207-8251
Phone
(209) 465-1080
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2495 W March LN
Suite 125
Stockton, CA 95207-8251

Mailing address

2495 W March LN Ste 125
Stockton, CA 95207-8224
Phone (209) 465-1080

Other practice location 1

302 Cherry Ln Ste 201
Manteca, CA 95337-4311
Phone (209) 647-6200

Other names 1

  • Giana Rose Vierra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86206CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Public Health Services CurrentSince Dec 30, 2024 Accepting new patients
San Joaquin Behavioral Health Services Marriage & Family Therapist Current Accepting new patients
County of San Joaquin CurrentSince Dec 30, 2024 Accepting new patients
Victor Community Support Services, Inc. PastSince Jun 11, 2023 Accepting new patients
Victor Community Support Services, Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 5

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1720318132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN STE 125",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078224",
            "telephone_number": "209-465-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN",
            "address_2": "SUITE 125",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078251",
            "telephone_number": "209-465-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Cherry Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953374311",
            "country_code": "US",
            "telephone_number": "209-647-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOGER",
        "first_name": "GIANA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIANA",
            "last_name": "VIERRA",
            "middle_name": "ROSE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.