Individual provider Active NPI

Julian Lessing Philipp, MFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1043374770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37197 Issued in CA
Practice address
1309 Evans Ave
San Francisco, CA 94124-1705
Phone
(415) 206-7655
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37197 CA Primary

Addresses

Primary practice location

1309 Evans Ave
San Francisco, CA 94124-1705

Mailing address

1309 Evans
San Francisco, AR 94124
Phone (415) 206-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003919 CA Practitioner - Marriage and Family Therapist 0345777124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (415) 759-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37197CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Oct 13, 2024 Accepting new patients
City & County of San Francisco CurrentSince Oct 13, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1309 Evans Ave
San Francisco, CA 94124
Phone (415) 206-7600

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

375 Laguna Honda Blvd
#B200
San Francisco, CA 94116
Phone (415) 759-3348

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043374770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 EVANS",
            "city": "SAN FRANCISCO",
            "state": "AR",
            "postal_code": "94124",
            "telephone_number": "415-206-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPP",
        "first_name": "JULIAN",
        "middle_name": "LESSING",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "37197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.