MS. INA CAROLYN ADAMS


Address: 3326 Victoria Ave, Santa Clara, CA 95055-2726
Phone: 4082444815

MS. INA CAROLYN ADAMS (NPI# 1962598821) 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) 1962598821
Entity Type Individual
Full Name MS. INA CAROLYN ADAMS
Credential MSSA
Practice Address 3326 Victoria Ave
Santa Clara
CA 95055-2726
Mailing Address Po Box 2854
3326 Victoria Ave
Santa Clara
CA 95055-2726
Practice Telephone 4082444815
Practice Fax Number 4085644815
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT6189 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD ZZZ99187Z 01

Office Location

Street Address 3326 VICTORIA AVE
City SANTA CLARA
State CA
Zip Code 95055-2726

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NPI Name Taxonomy Address Enumeration
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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
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1598220626 Wren Gray-reneberg Marriage & Family Therapist 1957 Pruneridge Ave, Santa Clara, CA 95050-6515 2019-02-02
1154897262 Jena Lenhardt Marriage & Family Therapist 3000 Benton St, Santa Clara, CA 95051-3736 2018-10-16
1467968008 Allison Fluty Marriage & Family Therapist 3256 Humbolt Ave, Santa Clara, CA 95051-3749 2017-12-19
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1831634526 Daniel Davis Licensed Marriage and Family Therapist A Professional Cor Marriage & Family Therapist 1588 Homestead Road, Suite G, Santa Clara, CA 95050-4783 2017-01-04
1407225709 Khalil Foundation Marriage & Family Therapist 3033 Scott Blvd, Santa Clara, CA 95054-3316 2015-09-17
1366830127 Christina Altemueller Marriage & Family Therapist 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 2015-01-02
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Competitor

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City SANTA CLARA
Zip Code 95055

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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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