Individual provider Active NPI

Jordan D Osejo

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1841853942
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
141459 Issued in CA
Practice address
98 Bosworth St
San Francisco, CA 94112-1002
Phone
(415) 551-0975
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Student in an Organized Health Care Education/Training Program 390200000X CA
Marriage & Family Therapist 106H00000X 141459 CA Primary

Addresses

Primary practice location

98 Bosworth St
San Francisco, CA 94112-1002

Mailing address

98 Bosworth St
San Francisco, CA 94112-1002
Phone (415) 551-0975

Other practice location 1

590 Rio Lindo Ave
Chico, CA 95926-1817
Phone (530) 345-3491

Other practice location 2

425 Divisadero St Ste 300
San Francisco, CA 94117-2242
Phone (415) 551-0975

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
141459CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy Training Program San Francisco PastSince Oct 1, 2020 Accepting new patients
Special Service for Groups, Inc. PastSince Oct 1, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1841853942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Rio Lindo Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261817",
            "country_code": "US",
            "telephone_number": "530-345-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Divisadero St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172242",
            "country_code": "US",
            "telephone_number": "415-551-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEJO",
        "first_name": "JORDAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141459",
            "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 Sep 14, 2023; 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.