Individual provider Active NPI

Niina Maritta Elizabeth Novak, LMFT, LPCC

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1770009953
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130671 Issued in CA
Practice address
1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914
Phone
(408) 583-5099
NPI assigned
Aug 18, 2017
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130671 CA Primary
Mental Health Counselor 101YM0800X 11681 CA

Addresses

Primary practice location

1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914

Mailing address

1101 S Winchester Blvd Ste A103
San Jose, CA 95128-3914
Phone (408) 583-5099

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11681CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Mind Wellness Professional Clinical Counselors Inc. Marriage & Family Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

1101 S Winchester Blvd
Ste A103
San Jose, CA 95128
Phone (408) 390-4792

4340 Stevens Creek Blvd
Ste 108
San Jose, CA 95129

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1770009953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE A103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914",
            "telephone_number": "408-583-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE A103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914",
            "telephone_number": "408-583-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "NIINA",
        "middle_name": "MARITTA ELIZABETH",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130671",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "11681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.