Active NPI
Jean L Stoller
- Addiction (Substance Use Disorder) Counselor
- South San Francisco, CA
National Provider Identifier
1215181599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 301 Grand Ave
South San Francisco, CA 94080-3606 - Phone
- (650) 244-1444
- Fax
- (650) 244-1447
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
301 Grand Ave
South San Francisco, CA 94080-3606
Mailing address
301 Grand Ave
South San Francisco, CA 94080-3606
Phone (650) 244-1444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97037 | Other | CA | OLLIN |
| 41491 | Other | CA | OP |
| 99037 | Other | CA | ENTRE FAMILIA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun | Past | Accepting new patients | |
| The Latino Commission | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- San Francisco, CA
- NPI 1205973492
-
- Substance Abuse Rehabilitation Facility
- San Bruno, CA
- NPI 1235318635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1215181599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803606",
"telephone_number": "650-244-1444",
"fax_number": "650-244-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803606",
"telephone_number": "650-244-1444",
"fax_number": "650-244-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "JEAN",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLLIN",
"identifier": "97037",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OP",
"identifier": "41491",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENTRE FAMILIA",
"identifier": "99037",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.