Individual provider Active NPI

Jessica Ann Kilborn, MA, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1992218150
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102674 Issued in CA
Practice address
1721 Scott St
San Francisco, CA 94115-3035
Phone
(415) 690-7793
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102674 CA Primary

Addresses

Primary practice location

1721 Scott St
San Francisco, CA 94115-3035

Mailing address

1721 Scott St Unit 3E
San Francisco, CA 94115-3035
Phone (415) 690-7793

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
102674CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1992218150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SCOTT ST UNIT 3E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153035",
            "telephone_number": "415-690-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SCOTT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153035",
            "telephone_number": "415-690-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBORN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102674",
            "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 Feb 17, 2018; 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.