1. Home
  2. Directory
  3. California
  4. San Jose
  5. Marriage Family Therapist
  6. NPI Profile

VANDANA KOPPULA
NPI 1780109165
Marriage & Family Therapist in San Jose, CA

Active since August 07, 2017PECOS Enrolled
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131(408) 284-9000 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Aug 7, 2017 (2 updates tracked since 2017).

About Vandana Koppula NPPES

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

VANDANA KOPPULA (NPI 1780109165) is an individual marriage & family therapist in San Jose, California and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780109165
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameVANDANA KOPPULA
Location Address1885 LUNDY AVE STE 223San Jose, CA 95131-1888
Mailing Address1885 Lundy Ave Ste 223San Jose, CA 95131-1888 · (408) 284-9000
Phone(408) 284-9000
Sole ProprietorNo
Enumeration DateAugust 7, 2017
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1780109165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
1885 LUNDY AVE STE 223, San Jose, CA 95131
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vandana Koppula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CHRISTINA DADO-ALVARENGA M.S.W.
Social Worker
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
DIANA RODRIGUEZ
Rehabilitation Practitioner
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
TAMARA MARIE MICKELSON
Marriage & Family Therapist
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
TANINDER KAUR THARANI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
MS. LAUREN CASEY SWANSICK NP
Nurse Practitioner (Psychiatric/Mental Health)
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
ANNIE TRAN
Marriage & Family Therapist
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
ERIN CATHERINE PITT
Student in an Organized Health Care Education/Training Program
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Santa Clara County (408) 284-9000
ERICA VAN SKIKE
Social Worker
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 Vandana Koppula's NPI number?

The NPI number for Vandana Koppula is 1780109165. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Vandana Koppula located?

Vandana Koppula practices at 1885 Lundy Ave Ste 223, San Jose, CA 95131. The listed phone number is (408) 284-9000.

What is Vandana Koppula's specialty?

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

Is Vandana Koppula enrolled in Medicare?

Yes. Vandana Koppula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vandana Koppula was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.