Individual provider Active NPI

Sierra Rae Farley Kellogg Corriea, AMFT

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1952160517
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
145269 Issued in CA
Practice address
919 Irving St Ste 104
San Francisco, CA 94122-2272
Phone
(707) 291-7791
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 145269 CA Primary

Addresses

Primary practice location

919 Irving St Ste 104
San Francisco, CA 94122-2272

Mailing address

919 Irving St Ste 104
San Francisco, CA 94122-2272

Other practice location 1

326 Balboa St
San Francisco, CA 94118-3936
Phone (707) 291-7791

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
145269CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1952160517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 IRVING ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 IRVING ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222272",
            "telephone_number": "707-291-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Balboa St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941183936",
            "country_code": "US",
            "telephone_number": "707-291-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRIEA",
        "first_name": "SIERRA",
        "middle_name": "RAE FARLEY KELLOGG",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "145269",
            "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 Mar 18, 2024; 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.