Active NPI
Jessica Viscomi, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1992181168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 104851
- Practice address
- 3516 Geary Blvd Ste 102
San Francisco, CA 94118-3213 - Phone
- (415) 569-0239
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 104851 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | IMF68800 | CA | |
| Marriage & Family Therapist | 106H00000X | 104851 | CA | Primary |
Addresses
Primary practice location
3516 Geary Blvd Ste 102
San Francisco, CA 94118-3213
Mailing address
PO Box 590862
San Francisco, CA 94159-0862
Phone (415) 409-9591
Other names 1
- Chiara Viscomi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104851 | CA | MD | General Practice Dentistry |
| IMF68800 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1992181168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590862",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941590862",
"telephone_number": "415-409-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 GEARY BLVD STE 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183213",
"telephone_number": "415-569-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCOMI",
"first_name": "JESSICA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2022-10-29",
"certification_date": "2022-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "104851",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "IMF68800",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHIARA",
"last_name": "VISCOMI",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.