Individual provider Active NPI

Adrienne Krawetz, MFT INTERN

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1902971583
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1600 The Alameda Ste 104
San Jose, CA 95126-2341
Phone
(650) 454-4242
Fax
(408) 273-6653
NPI assigned
Nov 21, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 NU Primary

Addresses

Primary practice location

1600 The Alameda Ste 104
San Jose, CA 95126-2341

Mailing address

1600 The Alameda Ste 104
San Jose, CA 95126-2341
Phone (650) 454-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501003493 CA Practitioner - Marriage and Family Therapist 3375011950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1121

890 Llagas Rd
Morgan Hill, CA 95037-3409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1902971583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 THE ALAMEDA STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262341",
            "telephone_number": "650-454-4242",
            "fax_number": "408-273-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 THE ALAMEDA STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262341",
            "telephone_number": "650-454-4242",
            "fax_number": "408-273-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWETZ",
        "first_name": "ADRIENNE",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.