Active NPI
Elisa Marina Alvarado, LCSW
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1801159280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS 15187
- Practice address
- 602 E Santa Clara St
San Jose, CA 95112-1908 - Phone
- (408) 445-3400
- Fax
- (408) 998-8043
- NPI assigned
- Jun 20, 2012
- 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 | LCS 15187 | CA | Primary |
Addresses
Primary practice location
602 E Santa Clara St
San Jose, CA 95112-1908
Mailing address
602 E Santa Clara St
San Jose, CA 95112-1908
Phone (408) 445-3400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 15187 | CA | MD | Mental Health Counselor |
| 15187 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1801159280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121908",
"telephone_number": "408-445-3400",
"fax_number": "408-998-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121908",
"telephone_number": "408-445-3400",
"fax_number": "408-998-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "ELISA MARINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS 15187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.