Individual provider Active NPI

Jorge Daniel Villarroel, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1932237799
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT102068 Issued in CA
Practice address
3195 California Street
San Francisco, CA 94115
Phone
(415) 367-4135
Fax
(415) 552-0529
NPI assigned
Mar 1, 2007
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT102068 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3195 California Street
San Francisco, CA 94115

Mailing address

'2' 3Rd Avenue
San Francisco, CA 94118
Phone (415) 297-6103

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
I20240123003494 CA Practitioner - Marriage and Family Therapist 1355793589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

2403 Keith St
San Francisco, CA 94124-3231
Phone (628) 217-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT102068CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jan 1, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jan 1, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

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, 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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1932237799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "'2' 3RD AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-297-6103",
            "fax_number": "415-552-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 CALIFORNIA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-367-4135",
            "fax_number": "415-552-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARROEL",
        "first_name": "JORGE",
        "middle_name": "DANIEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT102068",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.