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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFT6189 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | ZZZ99187Z | 01 |
Street Address |
3326 VICTORIA AVE |
City | SANTA CLARA |
State | CA |
Zip Code | 95055-2726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023075322 | Efriam Sanson Florendo | Dentist | 2605 Coffee Rd, Modesto, CA 95055 | 2006-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558969337 | Colter Engber | Student in an Organized Health Care Education/Training Program | 3486 Golden State Dr, Santa Clara, CA 95051-4611 | 2020-10-13 |
1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
1215543491 | Lashanette Jeanean Breazell | Behavior Technician | 50 Washington St Apt 37, Santa Clara, CA 95050-6143 | 2020-09-22 |
1104432822 | Kahleah Bynah Dugan | Behavior Technician | 4701 Patrick Henry Dr Bldg 6, Santa Clara, CA 95054-1863 | 2020-09-17 |
1972118651 | Christopher Christman | Massage Therapist | 1243 Carmel Way, Santa Clara, CA 95050-5224 | 2020-09-10 |
1316552987 | Katherine Tran | Physician Assistant | 3777 Inglewood Dr, Santa Clara, CA 95054-2139 | 2020-09-10 |
1376158907 | Madeleine Ma | Physician Assistant | 1825 Civic Center Dr Ste 25, Santa Clara, CA 95050-7302 | 2020-09-10 |
1710591979 | Viktor Vasas | Nurse Practitioner | 4501 Carlyle Ct Apt 1308, Santa Clara, CA 95054-3925 | 2020-09-04 |
1568074383 | Katelyn Ann Hakinson | Student in an Organized Health Care Education/Training Program | 2173 Calabazas Blvd, Santa Clara, CA 95051-1634 | 2020-08-21 |
1760094015 | Hadia Abdelgawad | Registered Nurse | 3001 Pruneridge Ave, Santa Clara, CA 95051-5611 | 2020-08-18 |
Find all providers in SANTA CLARA |
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 |
---|---|---|---|---|
1720639743 | Sharareh Shojaeddini | Marriage & Family Therapist | 3315 Montgomery Dr, Santa Clara, CA 95054-3028 | 2019-09-20 |
1396398640 | Evolibri Consulting | Marriage & Family Therapist | 4655 Old Ironsides Dr Ste 170, Santa Clara, CA 95054-1853 | 2019-07-16 |
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 |
1871019174 | Stephanie Shigeko Fugita | Marriage & Family Therapist | 2797 Park Ave Ste 206, Santa Clara, CA 95050-6064 | 2017-08-17 |
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 |
1841605896 | Elaine Gee-wong | Marriage & Family Therapist | 1588 Homestead Rd # 4, Suite F, Santa Clara, CA 95050-4783 | 2014-06-29 |
Find all providers in SANTA CLARA |
City | SANTA CLARA |
Zip Code | 95055 |
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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.