Jessica Ahmed, MA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI 1013584119 · NPPES record last updated Jul 8, 2023

Key facts

NPI
1013584119
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1918 University Ave Ste 2B
Berkeley, CA 94704-3264
Phone
(510) 841-1262
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Services Past
since May 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Mailing address

1918 University Ave Ste 2B
Berkeley, CA 94704-3264
Phone (510) 841-1262

Other providers in Berkeley, CA

All providers in Berkeley, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.