Individual provider Active NPI

Lara Windett Alkoraishi, MFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1881720993
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43984 Issued in CA
Practice address
2425 Enborg Lane
San Jose, CA 95128-2648
Phone
(408) 885-4066
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43984 CA Primary

Addresses

Primary practice location

2425 Enborg Lane
San Jose, CA 95128-2648

Mailing address

PO Box 321201
Lost Gatos, CA 95032
Phone (408) 892-3925

Other names 1

  • Dr. Lara Windett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43984CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1881720993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321201",
            "city": "LOST GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-892-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ENBORG LANE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282648",
            "telephone_number": "408-885-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKORAISHI",
        "first_name": "LARA",
        "middle_name": "WINDETT",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "WINDETT",
            "prefix": "DR.",
            "credential": "PSYD, MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.