Active NPI
Jessica Goyette
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1740679828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 134515
- Practice address
- 4850 Union Ave
San Jose, CA 95124-5156 - Phone
- (800) 913-2615
- NPI assigned
- Jan 13, 2015
- 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 | 134515 | CA | Primary |
Addresses
Primary practice location
4850 Union Ave
San Jose, CA 95124-5156
Mailing address
4850 Union Ave
San Jose, CA 95124-5156
Phone (800) 913-2615
Other names 1
- Jessica Glaser
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 |
|---|---|---|---|
| 134515 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1740679828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 UNION AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245156",
"telephone_number": "800-913-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 UNION AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245156",
"telephone_number": "800-913-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYETTE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "134515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GLASER",
"credential": "AMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.