Jillian A Boeri, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

810 College Ave Ste 1C
Kentfield, CA 94904-2565

Phone

(415) 949-0485

NPI assigned

Jan 5, 2021

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Marin Community Services

  • Community/Behavioral Health Agency
  • Novato, CA
  • NPI 1861556573

  Mental Health

  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1134717218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 COLLEGE AVE STE 1C",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COLLEGE AVE STE 1C",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042565",
            "telephone_number": "415-949-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949473825",
            "country_code": "US",
            "telephone_number": "415-892-1643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOERI",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Michelle Bellings-Kee, MFT
• Justine Meunier Fiebelkorn Benavente, OTR/L
• Jenny Benoit
• Myra Gueco Bernecker, PH.D.
• Alexander Geoffrey Bloom, LCSW
• Linda Boghrati, MFT
• David John Borgeson, MPT, MS
• Linda Christine Boyd-Cornell, L.M.F.T.
• Cynthia Bradley, DOULA
• Pierre Brennan, MM, MT-BC, NMT, BCBA

• Mental Health Counselor in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.