Individual provider Active NPI

Sommer Al Jishi

  • Professional Counselor
  • Sacramento, CA
National Provider Identifier
1316444987
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18481 Issued in CA
Practice address
7415 Henrietta Dr
Sacramento, CA 95822-5142
Phone
(916) 520-7399
NPI assigned
Apr 10, 2018
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010000186 CA Practitioner - Mental Health Counselor 4688171036 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
18481CAMDProfessional Counselor
9074CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Family Therapy Centers, Inc. Marriage & Family Therapist CurrentSince Dec 21, 2025 Accepting new patients
Silver Lake Psychology Inc. CurrentSince Jul 25, 2025 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.

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

Verify at the official NPI Registry.