Active NPI
Jillian McCoy
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1780206961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT129005
- Practice address
- 2727 Mariposa St Ste 100
San Francisco, CA 94110-1400 - Phone
- (415) 437-3000
- NPI assigned
- May 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT129005 | CA | Primary |
Addresses
Primary practice location
2727 Mariposa St Ste 100
San Francisco, CA 94110-1400
Mailing address
2315 1/2 9TH St
Berkeley, CA 94710-2323
Phone (415) 410-5800
Other practice location 1
3282 Adeline St
Berkeley, CA 94703-2439
Phone (510) 644-6965
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 12, 2026 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT129005 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1417188194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1780206961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 1/2 9TH ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102323",
"telephone_number": "415-410-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 MARIPOSA ST STE 100",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101400",
"telephone_number": "415-437-3000"
}
],
"practiceLocations": [
{
"address_1": "3282 Adeline St",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947032439",
"country_code": "US",
"telephone_number": "510-644-6965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT129005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.