MS. JENNIE FARBER KOSKO (NPI# 1962953133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962953133 |
| Entity Type | Individual |
| Full Name | MS. JENNIE FARBER KOSKO |
| Other Name | JENNIE LEE FARBER |
| Credential | MSW SOCIAL WORK INTE |
| Practice Address |
1340 Tully Road Suite 304 San Jose CA 95122 |
| Mailing Address |
5504 Dartmouth Dr. San Jose CA 95118 |
| Practice Telephone | 4082713900 |
| Mailing Telephone | (650) 399-6369 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RA858809 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCAPP | RA858809 | 01 |
| Street Address |
1340 TULLY ROAD SUITE 304 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1184882458 | Jessica Ray | Dentist | 1153 South King Road, Suite B, San Jose, CA 95122 | 2008-05-23 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1609412469 | Cathy Logie | Counselor | 2682 Coit Dr, San Jose, CA 95124-1611 | 2019-11-26 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376045591 | Michael Li | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-03-03 |
| 1104338805 | Sydney Louise Tai | Counselor | 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 | 2017-11-02 |
| 1932624871 | Linh Tuyet Vong | Counselor | 760 Pelleas Ln, San Jose, CA 95127-1030 | 2017-08-12 |
| 1760907273 | Marina Marie Mendonca | Counselor | 650 S. Bascom Ave, San Jose, CA 95128 | 2017-08-04 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1386171221 | Mia Yvone Jaurigue | Counselor | 151 W Mission St # A1, San Jose, CA 95110-1713 | 2017-05-22 |
| 1396296307 | Andres Lujan Jr. | Counselor | 1867 Senter Rd, San Jose, CA 95112-2527 | 2016-10-14 |
| 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.