Healthcare Provider Details

I. General information

NPI: 1891618096
Provider Name (Legal Business Name): AARON LONGINOTTI AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 LENZEN AVE
SAN JOSE CA
95126-2736
US

IV. Provider business mailing address

144 S 3RD ST UNIT 135
SAN JOSE CA
95112-6503
US

V. Phone/Fax

Practice location:
  • Phone: 408-855-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT143677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: