Jessica Blair Sturgill, LMFT LIC#247649

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

127649 Issued in CA

Practice address

6329 Peach Way
San Diego, CA 92130-5736

Phone

(619) 977-4965

NPI assigned

Aug 31, 2021

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

Other identifiers 1

Other names 1

• Jessica Blair Sobel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1184392680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 PEACH WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305736",
            "telephone_number": "619-977-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 PEACH WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305736",
            "telephone_number": "619-977-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "JESSICA",
        "middle_name": "BLAIR",
        "credential": "LMFT LIC#247649",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "127649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "127649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SOBEL",
            "middle_name": "BLAIR",
            "credential": "LMFT LIC#247649",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harriet L Stupp, MFT
• Maria de Lourdes Ladino Sturchler, M.D.
• Adam Clayton Sturdavant, M.D.
• Virginia Gutierrez Sturdivant, RN
• Candace Sturgeon, NP
• Sierra Sturken, OTD, OTR/L
• Paula Marie Sturm, RD
• Aida Herlinda Sturtevant
• Mildred Sturtevant
• Robin L. Stutzman, M.F.T.

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, 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 Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.