Active NPI
Kavoos Ghane Bassiri, LMFT, LPCC
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1063591972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 32987
- Practice address
- 615 John Muir Dr D617
San Francisco, CA 94132-6157 - Phone
- (415) 997-9087
- Fax
- (415) 737-0609
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 852 | CA | |
| Professional Counselor | 101YP2500X | E.1901525 | OH | |
| Marriage & Family Therapist | 106H00000X | F.1900098 | OH | |
| Marriage & Family Therapist | 106H00000X | 32987 | CA | Primary |
Addresses
Primary practice location
615 John Muir Dr D617
San Francisco, CA 94132-6157
Mailing address
615 John Muir Dr D617
San Francisco, CA 94132-6157
Phone (415) 997-9087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 852 | CA | MD | Professional Counselor |
| E.1901525 | OH | MD | Professional Counselor |
| F.1900098 | OH | MD | Marriage & Family Therapist |
| 32987 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Marriage & Family Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1063591972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 JOHN MUIR DR D617",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941326157",
"telephone_number": "415-997-9087",
"fax_number": "415-737-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 JOHN MUIR DR D617",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941326157",
"telephone_number": "415-997-9087",
"fax_number": "415-737-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSIRI",
"first_name": "KAVOOS",
"middle_name": "GHANE",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "852",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901525",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.1900098",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "32987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.