Jerri Lee Young, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT78005 Issued in CA

Practice address

1060 Howard St
San Francisco, CA 94103-2820

Phone

(415) 252-4788

Fax

(415) 252-4790

NPI assigned

Mar 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1801038773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 29TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213517",
            "telephone_number": "415-742-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HOWARD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032820",
            "telephone_number": "415-252-4788",
            "fax_number": "415-252-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JERRI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT78005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000007GW",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen C Young, DDS
• Jacob Stewart Young
• Jamie Young, OTR/L
• Janaya Dionne Monae Young
• Jennifer Davis Young, LCSW
• Jessie Young
• John Q. Young, MD
• Julie Young
• Justin Young, M.S.
• Kamal R Young, RADT

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.