Jennifer Basurto, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JENNIFER BASURTO, MSW, LCSW

Practice address

1496 Solano Ave
Albany, CA 94706-2127

Phone

(510) 214-3167

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Basurto, MSW, LCSWNPI 1467579953

Title

Psychotherapist

Phone

(510) 214-3167

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Basurto, LCSW

  • Clinical Social Worker
  • Albany, CA
  • NPI 1467579953
  NPD Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1982201166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TALBOT AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062331",
            "telephone_number": "510-517-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062127",
            "telephone_number": "510-214-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BASURTO, MSW, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BASURTO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "510-214-3167",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Sisters Care Foundation
• Shadan Jabali, DMD
• Sheila Jacobs, MFT
• Andrea Javorkova Adams
• Karl Jeffries, MD
• Elizabeth Ann Jennings, P.T., M.S.P.T
• Elsa P. Johnson, PH.D.
• Makena Johnson, BCBA
• Deborah Ann Joy, PH.D., MFT
• Judith Elise Rosenberg

• Mental Health Counselor in Albany, CA
• Providers in Albany, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.