LITTLE SPIRITS LLC (NPI# 1194374827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374827 |
| Entity Type | Organization |
| Organization Name | LITTLE SPIRITS LLC |
| Other Organization Name | LITTLE SPIRITS THERAPY CENTER |
| Practice Address |
77 N Almaden Ave Ste #102 San Jose CA 95110 |
| Practice Telephone | 9176120673 |
| Practice Fax Number | 4086069449 |
| Mailing Telephone | 9176120673 |
| Mailing Fax Number | 4086069449 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | CATHY VENEZIA (BEHAVIOR THERAPIST) |
| Authorized Official Telephone | 9176120673 |
| Authorized Official Credential | MSED, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little Spirits Therapy Center | Doing Business As Name - Organization |
| Street Address |
77 N ALMADEN AVE STE #102 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598127342 | Little Spirits Bay Area Licensed Professional Clinical Counslor | Counselor | 77 N Almaden Ave, 104, San Jose, CA 95110-2799 | 2016-03-22 |
| 1083268031 | Cathy Ann Venezia | Behavioral Analyst | 77 N Almaden Ave, Suite #102, San Jose, CA 95110-2776 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906802 | Healthright 360 | Clinic/Center | 1970 Morrill Ave, San Jose, CA 95132-1637 | 2007-08-06 |
| 1639543960 | Jayne Marsh Lmft | Clinic/Center | 3880 S Bascom Ave, Suite 216, San Jose, CA 95124-2674 | 2015-11-24 |
| 1528337300 | Alum Rock Counseling Center | Clinic/Center | 1245 E Santa Clara St, San Jose, CA 95116-2337 | 2011-12-22 |
| 1326341850 | Rylist, Inc. | Clinic/Center | 1101 S Winchester Blvd, Suite # N 265, San Jose, CA 95128-3901 | 2010-12-06 |
| 1437306594 | Healthright 360 | Clinic/Center | 1340 Tully Rd, Suite 301, San Jose, CA 95122-3055 | 2008-08-20 |
| 1265558324 | County of Santa Clara | Clinic/Center | 828 S Bascom Ave, Suite 100 and 120, San Jose, CA 95128-2651 | 2007-03-21 |
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| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
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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.