Jacqueline Ko

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150385 Issued in CA

Practice address

2635 Zanker Rd
San Jose, CA 95134-2107

Phone

(408) 292-9353

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Caminar

  • Mental Illness Community Based Residential Treatment Facility
  • Redwood City, CA
  • NPI 1205974524
  NPD
• Caminar

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daly City, CA
  • NPI 1457499550
  NPD
• Anise Health Psychiatry PC

  • Psychologist
  • Sacramento, CA
  • NPI 1518698299

  Professional

  NPD (past)
• Caminar

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redwood City, CA
  • NPI 1083752380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1740838374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2461",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950152461",
            "telephone_number": "650-204-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 ZANKER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342107",
            "telephone_number": "408-292-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8076",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayesa Knight
• Haneda Mijares Knox
• Susan Knudsen, MFTI
• Andrew H Ko, REHAB PRACTITIONER
• Elizabeth Yuan-Mae Ko, L AC
• Kay Kitfun Ko, PHARMD
• Lisa K. Ko, O.D.
• Melissa Ko, D.C.
• Suk Moon Ko, M.D.
• Wen Ruey Ko, M.D.

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.