EVOLIBRI CONSULTING (NPI# 1396398640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396398640 |
| Entity Type | Organization |
| Organization Name | EVOLIBRI CONSULTING |
| Practice Address |
4655 Old Ironsides Dr Ste 170 Santa Clara CA 95054-1853 |
| Practice Telephone | 4087357990 |
| Mailing Telephone | 4087357990 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | JAN JOHNSTON TYLER (OWNER) |
| Authorized Official Telephone | 6502451855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
4655 OLD IRONSIDES DR STE 170 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003468455 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr Ste 170, Santa Clara, CA 95054-1853 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639743 | Sharareh Shojaeddini | Marriage & Family Therapist | 3315 Montgomery Dr, Santa Clara, CA 95054-3028 | 2019-09-20 |
| 1598220626 | Wren Gray-reneberg | Marriage & Family Therapist | 1957 Pruneridge Ave, Santa Clara, CA 95050-6515 | 2019-02-02 |
| 1154897262 | Jena Lenhardt | Marriage & Family Therapist | 3000 Benton St, Santa Clara, CA 95051-3736 | 2018-10-16 |
| 1467968008 | Allison Fluty | Marriage & Family Therapist | 3256 Humbolt Ave, Santa Clara, CA 95051-3749 | 2017-12-19 |
| 1871019174 | Stephanie Shigeko Fugita | Marriage & Family Therapist | 2797 Park Ave Ste 206, Santa Clara, CA 95050-6064 | 2017-08-17 |
| 1831634526 | Daniel Davis Licensed Marriage and Family Therapist A Professional Cor | Marriage & Family Therapist | 1588 Homestead Road, Suite G, Santa Clara, CA 95050-4783 | 2017-01-04 |
| 1407225709 | Khalil Foundation | Marriage & Family Therapist | 3033 Scott Blvd, Santa Clara, CA 95054-3316 | 2015-09-17 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1841605896 | Elaine Gee-wong | Marriage & Family Therapist | 1588 Homestead Rd # 4, Suite F, Santa Clara, CA 95050-4783 | 2014-06-29 |
| 1154664795 | Sara Escobar Ullom | Marriage & Family Therapist | 1495 Don Ave, Apt. 111, Santa Clara, CA 95050-3701 | 2013-04-02 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
Please comment or provide details below to improve the information on EVOLIBRI CONSULTING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.