Individual provider Active NPI

Hooria Jazaieri, LMFT

  • Mental Health Counselor
  • Palo Alto, CA
National Provider Identifier
1720627466
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC-53748 Issued in CA
Practice address
380 Hamilton Ave # 1666
Palo Alto, CA 94301-2543
Phone
(408) 462-1447
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC-53748 CA Primary

Addresses

Primary practice location

380 Hamilton Ave # 1666
Palo Alto, CA 94301-2543

Mailing address

380 Hamilton Ave # 1666
Palo Alto, CA 94301-2543
Phone (408) 462-1447

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
MFC-53748CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1720627466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HAMILTON AVE # 1666",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012543",
            "telephone_number": "408-462-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HAMILTON AVE # 1666",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012543",
            "telephone_number": "408-462-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZAIERI",
        "first_name": "HOORIA",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC-53748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.