LARRY CLINTON POWELL


Address: 1769 Park Ave Ste 210, San Jose, CA 95126-2025
Phone: 4082560459

LARRY CLINTON POWELL (NPI# 1457485310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457485310
Entity Type Individual
Full Name LARRY CLINTON POWELL
Credential LMFT
Practice Address 1769 Park Ave Ste 210
San Jose
CA 95126-2025
Mailing Address 540 Patton Ave
San Jose
CA 95128-2150
Practice Telephone 4082560459
Practice Fax Number 4084577190
Mailing Telephone 4082560459
Mailing Fax Number 4084577190
Enumeration Date 2007-03-15
Last Update Date 2014-07-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist MFC 46424 CA Behavioral Health & Social Service Providers

Other Providers LARRY POWELL

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1780727966 Larry D Powell Counselor 1601 2nd Ave N Ste 218, Great Falls, MT 59401-3243 2007-02-15
1427498336 Larry Malone Powell Counselor 4343 Williamsbourgh Drive, Sacramento, CA 95823 2013-06-25
1831448331 Larry V Powell Pharmacist 10599 Dorchester Rd, Summerville, SC 29485-8047 2012-08-30
1609917442 Larry F. Powell Pharmacist 793 Eastern By-pass, Suite G-01, Richmond, KY 40475 2007-02-12
1144271669 Larry Dean Powell Family Medicine 301 Wanda St, Marietta, OK 73448-1229 2006-05-12

Office Location

Street Address 1769 PARK AVE STE 210
City SAN JOSE
State CA
Zip Code 95126-2025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720475429 Emily Rosenbaum Counselor 1769 Park Ave Ste 210, San Jose, CA 95126-2025 2015-04-20
1275946055 Karapet Gary Amirbekyan Marriage & Family Therapist 1769 Park Ave Ste 210, San Jose, CA 95126-2025 2014-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356830418 Esperanza Maravilla Counselor 1259 Park Ave, Apt 15, San Jose, CA 95126 2018-05-04
1811417819 Sahr Lawande Occupational Therapist 1373 University Ave, San Jose, CA 95126 2017-06-21
1063941482 Yang Li Acupuncturist 1520 Southwest Expy Unit 141, San Jose, CA 95126 2017-06-08
1598294860 Camille Campbell Counselor 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 2017-06-08
1588193387 Vanessa Aspera Case Manager/Care Coordinator 1400 Parkmoor Avenue, San Jose, CA 95126 2017-06-06
1538692603 Alexa Stine Fields Acupuncturist 714 Harding Ave, San Jose, CA 95126 2017-04-06
1669903647 Lillette Rosete Assisted Living Facility 960 Vermont St, San Jose, CA 95126 2017-03-22
1952847105 Dana Ninkham Behavior Technician 1922 The Alameda Suite 425, San Jose, CA 95126 2017-01-12
1811441199 Cristina Morales Delgado Community Health Worker 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 2016-08-04
1053770123 Felicia Nibungco Marriage & Family Therapist 1922 The Alameda Ste 326, San Jose, CA 95126 2016-02-18
Find all providers in zip 95126

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372377 Ratzburg Family Counseling Corporation Marriage & Family Therapist 465 Chinook Ln, San Jose, CA 95123-3311 2020-09-25
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1083230981 Joanna Leigh Carson-young Marriage & Family Therapist 1769 Park Ave Ste 220, San Jose, CA 95126-2025 2020-06-17
1144857467 Glenn M Tanimura Marriage & Family Therapist 1079 Noble Ln, San Jose, CA 95132-3128 2020-03-25
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1992339196 Brenda Ann Farrell Marriage & Family Therapist 1625 The Alameda Ste 711, San Jose, CA 95126-2225 2020-02-26
1619507472 Michelle Marie Wambach Marriage & Family Therapist 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 2020-01-21
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1497398002 Veronica Marie Ayala Marriage & Family Therapist 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 2019-10-26
1700428224 Lynn Huggins Marriage & Family Therapist 1625 The Alameda Ste 304, San Jose, CA 95126-2223 2019-10-16
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95126

Improve Information

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Dataset Information

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.

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