Organization Active NPI

San Jose Counseling Center: a Marriage Family Therapy Corporation

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1760067367
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAN JOSE COUNSELING CENTER: A MARRIAGE FAMILY THERAPY CORPORATION
Practice address
1101 S Winchester Blvd Ste H186
San Jose, CA 95128-3903
Phone
(408) 872-8796
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Jeni Woodfin, LMFTNPI 1740781574
Title
Owner
Phone
(408) 872-8796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1101 S Winchester Blvd Ste H186
San Jose, CA 95128-3903

Mailing address

1101 S Winchester Blvd Ste H186
San Jose, CA 95128-3903
Phone (408) 872-8796

Other identifiers 1

IdentifierTypeStateIssuer
1740781574OtherCANPI

Other names 1

  • J Woodfin Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste H186
San Jose, CA 95128
Phone (408) 446-4411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1760067367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE H186",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-872-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE H186",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-872-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE COUNSELING CENTER: A MARRIAGE FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "WOODFIN",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-872-8796",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740781574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Woodfin Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.