AMANDA MCCOLLUM (NPI# 1649522384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649522384 |
| Entity Type | Individual |
| Full Name | AMANDA MCCOLLUM |
| Practice Address |
3031 Tisch Way Suite 306 San Jose CA 95128-2541 |
| Mailing Address |
3031 Tisch Way Suite 306 San Jose CA 95128 |
| Practice Telephone | 4083501313 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3031 TISCH WAY SUITE 306 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817006 | Harjit K Sekhon | Specialist | 3031 Tisch Way, Ste 400, San Jose, CA 95128-2541 | 2006-06-09 |
| 1184048928 | Brittnie Finkbeiner | Counselor | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2014-02-14 |
| 1558792069 | Lauren Krzywinski | Counselor | 3031 Tisch Way, San Jose, CA 95128-2541 | 2013-12-09 |
| 1306270202 | Rossa Dono | Counselor | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2013-08-27 |
| 1487096103 | Brenda Martinez | Counselor | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2013-07-23 |
| 1265874283 | Vanessa Garcia | Counselor | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2013-07-18 |
| 1134564990 | Julieta Ortiz | Counselor | 3031 Tisch Way, San Jose, CA 95128-2541 | 2013-05-07 |
| 1699110452 | Karen Gisela Ortiz | Counselor | 3031 Tisch Way, San Jose, CA 95128-2541 | 2013-05-07 |
| 1639512684 | Elizabeth Catalina Diaz | Counselor | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2013-04-09 |
| 1568730539 | Elsje E Bos Gurko | Technician, Other | 3031 Tisch Way, Suite 306, San Jose, CA 95128-2541 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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.