Individual provider Active NPI

Heather S Ussery-Knight

  • Counselor
  • Daly City, CA
National Provider Identifier
1306986617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMF40435 Issued in CA
Practice address
2 Edgewood CT
Daly City, CA 94014-1841
Phone
(650) 994-7110
Fax
(650) 994-7180
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMF40435 CA Primary

Addresses

Primary practice location

2 Edgewood CT
Daly City, CA 94014-1841

Mailing address

646 4TH Ave
San Francisco, CA 94118-3911
Phone (415) 666-3044

Other identifiers 1

IdentifierTypeStateIssuer
IMF40435OtherCAMFT INTERN

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
IMF40435CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caminar Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306986617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 4TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183911",
            "telephone_number": "415-666-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EDGEWOOD CT",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141841",
            "telephone_number": "650-994-7110",
            "fax_number": "650-994-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSERY-KNIGHT",
        "first_name": "HEATHER",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF40435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT INTERN",
            "identifier": "IMF40435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.