Individual provider Active NPI

Jessica Viscomi, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1992181168
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104851 Issued in CA
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

Updated by the provider on Oct 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
104851CAMDGeneral Practice Dentistry
IMF68800CAMDStudent 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

Verify at the official NPI Registry.