Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Disruptive Therapy Collective

Organization Mental Health Counselor · NPI 1083559314

Disruptive Therapy Collective is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone: (408) 365-4238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083559314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Bui — Ceo · (408) 365-4238
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address1769 Park Ave Ste 250, San Jose, CA 95126-2030

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