Active NPI
Milynne Ibarra Farrales, M.A., LMFT
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1861674004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1555 Parkmoor Ave
San Jose, CA 95128-2407 - Phone
- (408) 282-0402
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1555 Parkmoor Ave
San Jose, CA 95128-2407
Mailing address
2055 Treewood LN
San Jose, CA 95132-1244
Phone (408) 464-5370
Other names 1
- Milynne Gail Ibarra
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Services | Mental Health | Past | Accepting new patients |
| Hope Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Mountain View, CA
- NPI 1043571730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1861674004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 TREEWOOD LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321244",
"telephone_number": "408-464-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 PARKMOOR AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282407",
"telephone_number": "408-282-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRALES",
"first_name": "MILYNNE",
"middle_name": "IBARRA",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILYNNE",
"last_name": "IBARRA",
"middle_name": "GAIL",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.