Individual provider Active NPI

Asya Mourraille, MFT

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1275762197
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3354 Sacramento St Ste E
San Francisco, CA 94118-1948
Phone
(415) 377-3206
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT51838 CA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3354 Sacramento St Ste E
San Francisco, CA 94118-1948

Mailing address

3354 Sacramento St Ste E
San Francisco, CA 94118-1948
Phone (415) 377-3206

Other practice location 1

480 Manor Plz
Pacifica, CA 94044-1839
Phone (650) 355-8787 ext. 44

Other practice location 2

119 Ward St
Larkspur, CA 94939-1326
Phone (415) 377-3206

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

LicenseStateTypeSpecialty
LMFT51838CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275762197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 SACRAMENTO ST STE E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181948",
            "telephone_number": "415-377-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 SACRAMENTO ST STE E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181948",
            "telephone_number": "415-377-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Manor Plz",
            "address_purpose": "LOCATION",
            "city": "Pacifica",
            "state": "CA",
            "postal_code": "940441839",
            "country_code": "US",
            "telephone_number": "650-355-8787 x44",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Ward St",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391326",
            "country_code": "US",
            "telephone_number": "415-377-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURRAILLE",
        "first_name": "ASYA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT51838",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.