MISS M CHARIS GEEVARUGHESE M.A.
NPI 1144515107
Counselor in San Jose, CA

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
2400 MOORPARK AVE, SUITE 300, SAN JOSE, CA 95128(408) 975-2730 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 11, 2022, Mar 25, 2021 (2 updates tracked since 2021).

About Miss M Charis Geevarughese M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS M CHARIS GEEVARUGHESE M.A. (NPI 1144515107) is an individual counselor in San Jose, California and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144515107
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS M CHARIS GEEVARUGHESECredential: M.A.
Location Address2400 MOORPARK AVE, SUITE 300San Jose, CA 95128-2631
Mailing Address2163 Willester AvenueSan Jose, CA 95124 · (562) 458-3327
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 17, 2011
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1144515107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

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.

2400 MOORPARK AVE, San Jose, CA 95128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss M Charis Geevarughese M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466869862
PECOS Enrollment IDI20210331002967
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2400 MOORPARK AVE, SUITE 100
SAN JOSE, CA 95128
Internal Medicine (Rheumatology)
2400 MOORPARK AVE, STE# 118 RHEMATOLOGY CLINIC
SAN JOSE, CA 95128
Pediatrics
2400 MOORPARK AVE, PUBLIC HEALTH CLINIC
SAN JOSE, CA 95128
Internal Medicine (Geriatric Medicine)
2400 MOORPARK AVE, MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Family Medicine
2400 MOORPARK AVE, SUITE #319
SAN JOSE, CA 95128
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Nurse Practitioner
2400 MOORPARK AVE, SUITE 319
SAN JOSE, CA 95128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144515107, enumerated as an "individual" on June 17, 2011.

The provider is located at 2400 MOORPARK AVE SUITE 300 SAN JOSE, CA 95128 and the phone number is (408) 975-2730.

Counselor with taxonomy code 101Y00000X.