Individual provider · Type 1 NPI

Jill Moody, LPT

Counselor · San Jose, CA

NPI number 1417909540 Active

Practice location

1555 Parkmoor Ave
San Jose, CA 95128-2407

Call (408) 282-0402 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPT24205 (CA)

Counselor: 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.

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About NPI 1417909540

Jill Moody, LPT's National Provider Identifier is 1417909540, issued on May 17, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 13, 2026.