Active NPI
Sommer Al Jishi
- Professional Counselor
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18481
- Practice address
- 7415 Henrietta Dr
Sacramento, CA 95822-5142 - Phone
- (916) 520-7399
- NPI assigned
- Apr 10, 2018
- Last updated
- Mar 19, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9074 | CA | |
| Professional Counselor | 101YP2500X | 18481 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 9074 | CA | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
7415 Henrietta Dr
Sacramento, CA 95822-5142
Mailing address
8250 Calvine Rd # C211
Sacramento, CA 95828-9313
Phone (916) 201-4401
Other practice location 1
3440 Viking Dr
Sacramento, CA 95827-2844
Phone (916) 262-8598
Other practice location 2
505 M St
Rio Linda, CA 95673-2218
Phone (916) 287-4067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75284
PO Box
Suite 844388
Dallas, TX 75284-4388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18481 | CA | MD | Professional Counselor |
| 9074 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Family Therapy Centers, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Silver Lake Psychology Inc. | Current | Accepting new patients | |
| County of Sacramento | Past | Accepting new patients |
Locations
673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054
2301 Hyperion Ave
#A
Los Angeles, CA 90027
Phone (310) 726-3890
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Grass Valley, CA
- NPI 1336648385
-
- Psychologist
- Los Angeles, CA
- NPI 1932651817
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1316444987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 CALVINE RD # C211",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958289313",
"telephone_number": "916-201-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 HENRIETTA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958225142",
"telephone_number": "916-520-7399"
}
],
"practiceLocations": [
{
"address_1": "3440 Viking Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958272844",
"country_code": "US",
"telephone_number": "916-262-8598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 M St",
"address_purpose": "LOCATION",
"city": "Rio Linda",
"state": "CA",
"postal_code": "956732218",
"country_code": "US",
"telephone_number": "916-287-4067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL JISHI",
"first_name": "SOMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "9074",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "18481",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "9074",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.