Individual provider Active NPI

Jeffrey Matthew Essex, CADPT16957

  • Addiction (Substance Use Disorder) Counselor
  • San Mateo, CA
National Provider Identifier
1811755531
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16957 Issued in CA
Practice address
2251 Palm Ave # 1
San Mateo, CA 94403-1814
Phone
(650) 513-6500
Fax
(650) 513-6500
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16957 CA Primary

Addresses

Primary practice location

2251 Palm Ave # 1
San Mateo, CA 94403-1814

Mailing address

2251 Palm Ave # 1
San Mateo, CA 94403-1814
Phone (650) 513-6500

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

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1811755531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 PALM AVE # 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031814",
            "telephone_number": "650-513-6500",
            "fax_number": "650-513-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 PALM AVE # 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031814",
            "telephone_number": "650-513-6500",
            "fax_number": "650-513-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSEX",
        "first_name": "JEFFREY",
        "middle_name": "MATTHEW",
        "credential": "CADPT16957",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "16957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.