ROLANDO E. GOUBAUD-REYNA LCSW
NPI 1811194897
Social Worker - Clinical in San Jose, CA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112(408) 938-2113(408) 579-6143 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rolando E. Goubaud-reyna Lcsw NPPES

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

ROLANDO E. GOUBAUD-REYNA LCSW (NPI 1811194897) is an individual clinical provider in San Jose, California, licensed in California (LCS 17993) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811194897
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROLANDO E. GOUBAUD-REYNACredential: LCSW
Location Address160 E VIRGINIA ST STE 280San Jose, CA 95112-5817
Mailing Address160 E Virginia St Ste 280San Jose, CA 95112-5817
Fax(408) 579-6143
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 2, 2007
Last NPPES UpdateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
NPI 1811194897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS 17993
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1041C0700X (CA)
160 E VIRGINIA ST STE 280, San Jose, CA 95112

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

Rolando E. Goubaud-reyna Lcsw 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 ID4486962404
PECOS Enrollment IDI20150924001821
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811194897, enumerated as an "individual" on July 02, 2007.

The provider is located at 160 E VIRGINIA ST STE 280 SAN JOSE, CA 95112 and the phone number is (408) 938-2113.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.