KATHERINE ACTIVE (NPI# 1659926343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659926343 |
| Entity Type | Individual |
| Full Name | KATHERINE ACTIVE |
| Practice Address |
1075 E Santa Clara St San Jose CA 95116-2244 |
| Mailing Address |
3427 Kettmann Rd San Jose CA 95121-1225 |
| Practice Telephone | 4087923910 |
| Mailing Telephone | 4085002890 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
1075 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407946080 | Tracy Fleming | Marriage & Family Therapist | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2006-10-13 |
| 1881292589 | Anna M Neibel-porcalla | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2020-10-14 |
| 1518565779 | Joseph Austin Ritkes | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2020-10-10 |
| 1366087835 | Jonathan Drennan | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2019-11-08 |
| 1376190272 | Abigail Morse | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2019-08-25 |
| 1316427321 | Victoria Salazar | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2018-08-19 |
| 1902334717 | Faizah Saleem | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2017-05-24 |
| 1144679549 | Rajni Madan | Social Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2016-06-07 |
| 1972962967 | Victor B. Allam Jr. | Community Health Worker | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2016-02-18 |
| 1417316498 | Down Town Mental Health | Psychiatric Hospital | 1075 E Santa Clara St, San Jose, CA 95116-2244 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| Find all providers in SAN JOSE | ||||
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| 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.