BAOTRAN AMANDA XUAN NGUYEN
NPI 1275995920
Marriage & Family Therapist in San Jose, CA

Q: What is Baotran Amanda Nguyen's NPI number?

The NPI number for Baotran Amanda Nguyen is 1275995920. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Baotran Amanda Nguyen's specialty?

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

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment

1555 PARKMOOR AVE, SAN JOSE, CA 95128(408) 282-0402(405) 282-0400 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Baotran Amanda Xuan Nguyen NPPES

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

BAOTRAN AMANDA XUAN NGUYEN (NPI 1275995920) is an individual marriage & family therapist in San Jose, California, licensed in California (143019) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275995920

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBAOTRAN AMANDA XUAN NGUYEN

Location Address1555 PARKMOOR AVESan Jose, CA 95128-2407

Mailing Address1555 Parkmoor Ave, Counseling CenterSan Jose, CA 95128 · (408) 282-0402 · Fax (405) 282-0400

Phone(408) 282-0402

Fax(405) 282-0400

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 22, 2016

Last NPPES UpdateDecember 1, 20235 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1275995920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 143019

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior AnalystTaxonomy 103K00000X

1555 PARKMOOR AVE, San Jose, CA 95128

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Secondary Practice Location 1

Location 1309 Lennon Ln, Suite 104Walnut Creek, CA 94598-2491 · Phone (925) 210-9370 · Fax (925) 210-0436

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Baotran Amanda Xuan Nguyen 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 ID42723827

PECOS Enrollment IDI20250703001548

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.

Medicare Billing Reassignment

Medicare enrollment records show Baotran Amanda Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hope Services

Same address

Community/Behavioral Health

1555 PARKMOOR AVE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
41 clinicians in this Medicare group

NPI 1861445306 (408) 282-0402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MEAGHAN BARISONE

Counselor