MICA COSBY MA
NPI 1235978800
Marriage & Family Therapist in San Jose, CA

Q: What is Mica Cosby's NPI number?

The NPI number for Mica Cosby is 1235978800. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Q: What is Mica Cosby's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Mica Cosby enrolled in Medicare?

No. Mica Cosby has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mica Cosby was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2024Opted out of Medicare · through Jan 16, 2028

3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124(408) 502-6259 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mica Cosby Ma NPPES

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

MICA COSBY MA (NPI 1235978800) is an individual marriage & family therapist in San Jose, California, licensed in California (146944) and active in the NPI registry since May 2024. She has opted out of Medicare through January 16, 2028 and maintains a secondary practice location in Le Grand.

NPPES Registry Identity

NPI1235978800

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMICA COSBYCredential: MA

Location Address3880 S BASCOM AVE STE 202San Jose, CA 95124-2675

Mailing Address3144 G Street Ste 125, Pmb 286Merced, CA 95340 · (650) 380-2112

Phone(408) 502-6259

Sole ProprietorYes

Enumeration DateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1235978800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 146944

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.

3880 S BASCOM AVE STE 202, San Jose, CA 95124

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Secondary Practice Location 1

Location 14202 Marshall StLe Grand, CA 95333-9631 · Phone (650) 380-2112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mica Cosby Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2026 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2026

Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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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.

CHRISTINE LEE

Counselor (Mental Health)