Individual provider Active NPI

Jennifer Giacomini, MFT

  • Marriage & Family Therapist
  • Burlingame, CA
National Provider Identifier
1275875460
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42105 Issued in CA
Practice address
1820 Ogden Dr
Suite #9
Burlingame, CA 94010-5384
Phone
(415) 609-6100
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 42105 CA Primary

Addresses

Primary practice location

1820 Ogden Dr
Suite #9
Burlingame, CA 94010-5384

Mailing address

1820 Ogden Dr
Suite #9
Burlingame, CA 94010-5384
Phone (415) 609-6100

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1275875460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 OGDEN DR",
            "address_2": "SUITE #9",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105384",
            "telephone_number": "415-609-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 OGDEN DR",
            "address_2": "SUITE #9",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105384",
            "telephone_number": "415-609-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMINI",
        "first_name": "JENNIFER",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.