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MR. FRED IGNACIO MATA JR.
NPI 1720249295
Counselor in San Jose, CA

Active since June 18, 2008
1885 LUNDY AVE, STE 223, SAN JOSE, CA 95131(408) 503-7960 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Fred Ignacio Mata Jr. NPPES

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

MR. FRED IGNACIO MATA JR. (NPI 1720249295) is an individual counselor in San Jose, California and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1720249295
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. FRED IGNACIO MATA JR.
Location Address1885 LUNDY AVE, STE 223San Jose, CA 95131-1887
Mailing Address1885 Lundy Ave, Ste 223San Jose, CA 95131-1887 · (408) 503-7960
Phone(408) 503-7960
Sole ProprietorNo
Enumeration DateJune 18, 2008
✔ NPI 1720249295 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.
1885 LUNDY AVE, San Jose, CA 95131
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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.

JANINE R REED M.A.
Marriage & Family Therapist
1885 LUNDY AVE, 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9010
FIVE BRANCHES UNIVERSITY INC
Acupuncturist
1885 LUNDY AVE, SUITE 108
SAN JOSE, CA 95131
Santa Clara County (408) 260-8868
NICHOLAS COLOMBO
Counselor (Mental Health)
1885 LUNDY AVE, SUITE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
MR. PETER J MCCLURE
Counselor (Mental Health)
1885 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 284-9039
MS. XIOMARA UNIQUE ROCCHILD
Counselor
1885 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 503-7960
MR. VENKATA SIDDARDHA VARMA INDUKURI
Counselor (Mental Health)
1885 LUNDY AVE, 223
SAN JOSE, CA 95131
Santa Clara County (408) 503-7960
PARISA RAHIMIAN MFTI
Counselor (Mental Health)
1885 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 503-7960
MELISSA NICOLE JIMENEZ
Marriage & Family Therapist
1885 LUNDY AVE, STE. 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Mata's NPI number?

The NPI number for Fred Mata is 1720249295. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Fred Mata located?

Fred Mata practices at 1885 Lundy Ave Ste 223, San Jose, CA 95131. The listed phone number is (408) 503-7960.

What is Fred Mata's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Fred Mata was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.