Healthcare Provider Details

I. General information

NPI: 1922129113
Provider Name (Legal Business Name): DONALD FELICE BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 TISCH WAY STE 306
SAN JOSE CA
95128-2530
US

IV. Provider business mailing address

3031 TISCH WAY STE 306
SAN JOSE CA
95128-2530
US

V. Phone/Fax

Practice location:
  • Phone: 831-235-1402
  • Fax: 831-535-5449
Mailing address:
  • Phone: 831-235-1402
  • Fax: 831-535-5449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: