Individual provider Active NPI

Jessica Rachael Youseffi, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1710466602
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122096 Issued in CA
Practice address
516 Oakland Ave
Oakland, CA 94611-5429
Phone
(213) 986-6939
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 104939 CA
Mental Health Counselor 101YM0800X 104939 CA
Marriage & Family Therapist 106H00000X 122096
Marriage & Family Therapist 106H00000X 122096 CA Primary

Addresses

Primary practice location

516 Oakland Ave
Oakland, CA 94611-5429

Mailing address

1616 Berkeley Way Apt E
Berkeley, CA 94703-1275
Phone (213) 986-6939

Other practice location 1

1250 Pine St Ste 100
Walnut Creek, CA 94596-3633
Phone (213) 986-6939

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
122096CAMDMarriage & Family Therapist
104939CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1710466602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BERKELEY WAY APT E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031275",
            "telephone_number": "213-986-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115429",
            "telephone_number": "213-986-6939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Pine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963633",
            "country_code": "US",
            "telephone_number": "213-986-6939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSEFFI",
        "first_name": "JESSICA",
        "middle_name": "RACHAEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104939",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "104939",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "122096",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.