Individual provider Active NPI

Jessica Ann Ames-Cotto

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1093624348
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24097 Issued in CA
Practice address
3928 Illinois St
San Diego, CA 92104-3058
Phone
(619) 584-4010
Fax
(619) 564-8011
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24097 CA Primary

Addresses

Primary practice location

3928 Illinois St
San Diego, CA 92104-3058

Mailing address

3928 Illinois St
San Diego, CA 92104-3058
Phone (619) 584-4010

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1093624348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 ILLINOIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043058",
            "telephone_number": "619-584-4010",
            "fax_number": "619-564-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 ILLINOIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043058",
            "telephone_number": "619-584-4010",
            "fax_number": "619-564-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES-COTTO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "24097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.