Active NPI
Clinton Gaver
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1841643160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 115422
- Practice address
- 1790 Chevalier Dr
San Jose, CA 95124-6201 - Phone
- (408) 981-4700
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- 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 | 115422 | CA | Primary |
Addresses
Primary practice location
1790 Chevalier Dr
San Jose, CA 95124-6201
Mailing address
1790 Chevalier Dr
San Jose, CA 95124-6201
Phone (408) 981-4700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1841643160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 CHEVALIER DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951246201",
"telephone_number": "408-981-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 CHEVALIER DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951246201",
"telephone_number": "408-981-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVER",
"first_name": "CLINTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "115422",
"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 Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.