Individual provider Active NPI

Lori Mildred Jerman, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1780211896
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
24483 Issued in CA
Practice address
Healthy Minds Counseling Services
1455 Frazee Road, Suite 880
San Diego, CA 92108
Phone
(619) 206-5271
Fax
(619) 795-3274
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 24483 CA Primary

Addresses

Primary practice location

Healthy Minds Counseling Services
1455 Frazee Road, Suite 880
San Diego, CA 92108

Mailing address

2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746
Phone (619) 247-7107

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
24483CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Mindful Healing Counseling Center PastSince Mar 29, 2020 Accepting new patients
The Khachatryan Corporation, Licensed Professional Clinical Counselor PastSince Mar 29, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1780211896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 FENTON PKWY # 107-239",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084746",
            "telephone_number": "619-247-7107",
            "fax_number": "619-795-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTHY MINDS COUNSELING SERVICES",
            "address_2": "1455 FRAZEE ROAD, SUITE 880",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-206-5271",
            "fax_number": "619-795-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMAN",
        "first_name": "LORI",
        "middle_name": "MILDRED",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "24483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.