Jess Monae Faison

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131300 Issued in CA

Practice address

1925 Garden CT
Antioch, CA 94509-2865

Phone

(925) 628-1641

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Mentoring Center

  • Social Worker
  • Antioch, CA
  • NPI 1750104881
  NPD
• The Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Antioch, CA
  • NPI 1891361119
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1003440546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 107",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-628-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GARDEN CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092865",
            "telephone_number": "925-628-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "JESS",
        "middle_name": "MONAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eventide Healthcare LLC
• Everside Health-Antioch
• Excel Med-Trans LLC
• Exillent Body Herb & Womb Wellness
• F Partovi DDS Inc
• Devon Ruth Fall
• Family Optometric Vision Care
• Family Stress Center
• Hany Samaan Faragallah, DDS
• Sanna Fatima, M.D.

• All providers in Antioch, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.