Individual provider Active NPI

Lobelle Magsombol Lucio, AMFT

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1902317464
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT98415 Issued in CA
Practice address
86 S 14TH St
San Jose, CA 95112-2015
Phone
(408) 510-7080
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT98415 CA Primary

Addresses

Primary practice location

86 S 14TH St
San Jose, CA 95112-2015

Mailing address

86 S 14TH St
San Jose, CA 95112-2015
Phone (408) 510-7080

Other practice location 1

9015 Murray Ave
Gilroy, CA 95020-3617
Phone (408) 665-4908

Other names 1

  • Lobelle Siapno Magsombol Former name

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
AMFT98415CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1902317464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 S 14TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122015",
            "telephone_number": "408-510-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 S 14TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122015",
            "telephone_number": "408-510-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9015 Murray Ave",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950203617",
            "country_code": "US",
            "telephone_number": "408-665-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "LOBELLE",
        "middle_name": "MAGSOMBOL",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT98415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOBELLE",
            "last_name": "MAGSOMBOL",
            "middle_name": "SIAPNO",
            "credential": "AMFT",
            "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 Aug 12, 2019; 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.