Individual provider Active NPI

Jessica Ozberker, LCSW

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1881169068
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
27025 Issued in CA
Practice address
842 California St
San Francisco, CA 94108-2315
Phone
(415) 860-1429
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 27025 CA Primary

Addresses

Primary practice location

842 California St
San Francisco, CA 94108-2315

Mailing address

136 Margarita Dr
San Rafael, CA 94901-2374
Phone (415) 860-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224003050 CA Practitioner - Clinical Social Worker 2769819135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 5TH Ave
San Rafael, CA 94901-3348
Phone (415) 419-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27025CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children's Services CurrentSince Jan 14, 2020 Accepting new patients
Jewish Family and Children's Services Current Accepting new patients
Jewish Family and Children's Services CurrentSince Jan 14, 2020 Accepting new patients

Locations

600 5th Ave
San Rafael, CA 94901
Phone (415) 419-3600

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1881169068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MARGARITA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012374",
            "telephone_number": "415-860-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941082315",
            "telephone_number": "415-860-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBERKER",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "27025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.