Individual provider Active NPI

Lily Jaser, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1356897425
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121769 Issued in CA
Practice address
6239 College Ave
Oakland, CA 94618-1329
Phone
(510) 984-1883
NPI assigned
Aug 29, 2016
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CA
Marriage & Family Therapist 106H00000X 121769 CA Primary

Addresses

Primary practice location

6239 College Ave
Oakland, CA 94618-1329

Mailing address

6239 College Ave Ste 303
Oakland, CA 94618-1384
Phone (510) 984-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121769CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Counseling Center PastSince Nov 24, 2019 Accepting new patients
John F. Kennedy University Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1356897425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 COLLEGE AVE STE 303",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181384",
            "telephone_number": "510-984-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181329",
            "telephone_number": "510-984-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASER",
        "first_name": "LILY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.