Individual provider Active NPI

Eileen Navasca Ma

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1841609286
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108838 Issued in CA
Practice address
950 S Bascom Ave Ste 2010
San Jose, CA 95128-3538
Phone
(408) 341-9222
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 108838 CA Primary

Addresses

Primary practice location

950 S Bascom Ave Ste 2010
San Jose, CA 95128-3538

Mailing address

950 S Bascom Ave Ste 2010
San Jose, CA 95128-3538
Phone (408) 341-9222

Other practice location 1

90 Great Oaks Blvd
Suite108
San Jose, CA 95119-1314
Phone (408) 281-0708 ext. 128

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

LicenseStateTypeSpecialty
108838CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nugent Family Counseling Center Inc Marriage & Family Therapist CurrentSince Jan 7, 2024 Accepting new patients

Locations

950 S Bascom Ave
Ste 2010
San Jose, CA 95128
Phone (408) 341-9222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1841609286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 2010",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283538",
            "telephone_number": "408-341-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S BASCOM AVE STE 2010",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283538",
            "telephone_number": "408-341-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Great Oaks Blvd",
            "address_2": "Suite108",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191314",
            "country_code": "US",
            "telephone_number": "408-281-0708 x128",
            "fax_number": "408-281-2658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "EILEEN",
        "middle_name": "NAVASCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108838",
            "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 Feb 19, 2020; 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.