MISS STACY LEE JURGENS (NPI# 1598800856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598800856 |
| Entity Type | Individual |
| Full Name | MISS STACY LEE JURGENS |
| Practice Address |
455 Silicon Valley Blvd San Jose CA 95138-1858 |
| Mailing Address |
5210 Terner Way Apt 239 San Jose CA 95136-4162 |
| Practice Telephone | 4082849084 |
| Practice Fax Number | 4082849073 |
| Mailing Telephone | 4089304938 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 50139 | CA | Behavioral Health & Social Service Providers |
| Street Address |
455 SILICON VALLEY BLVD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306938402 | Starlight Adolescent Center | Community/Behavioral Health | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2006-09-28 |
| 1124681127 | Kruti Rawal | Pharmacist | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2019-04-16 |
| 1144600784 | Ana Lopez Rojas | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2015-06-08 |
| 1508252149 | Sjbh, LLC | Psychiatric Hospital | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2015-04-10 |
| 1053632059 | Nathaniel Grant Sharon | Psychiatry & Neurology | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2010-06-14 |
| 1477784775 | Crystal Estrada | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2009-08-04 |
| 1508039124 | Peter Hernandez | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-04-03 |
| 1841460995 | Lashurn Michelle Ferrell | Counselor | 455 Silicon Valley Blvd, Human Resources, San Jose, CA 95138-1858 | 2008-03-05 |
| 1376712174 | John Mark Kane | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-02-26 |
| 1154599892 | Mei-yan Chiang | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2008-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.