URSULA ANN JORGENSEN (NPI# 1639650740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639650740 |
| Entity Type | Individual |
| Full Name | URSULA ANN JORGENSEN |
| Credential | LMFT |
| Practice Address |
300 Harbor Blvd Belmont CA 94002-4018 |
| Practice Telephone | 6508179070 |
| Practice Fax Number | 6502463838 |
| Mailing Telephone | 6508179070 |
| Mailing Fax Number | 6502463838 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 110207 | CA | Behavioral Health & Social Service Providers |
| Street Address |
300 HARBOR BLVD |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477635670 | Telecare Corporation | Clinic/Center | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2006-10-19 |
| 1760962120 | Imani Kim Smothers | Community Health Worker | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2018-08-15 |
| 1437667359 | Jillian Rose Charles | Community Health Worker | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2018-01-12 |
| 1497273650 | Bridgette Rose Herrmann | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2017-09-07 |
| 1740700095 | Ya-wen Huang | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2017-06-27 |
| 1053853689 | Consuela Bolanos | Licensed Vocational Nurse | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-11-14 |
| 1407308422 | Jamie Marie Sanders | Registered Nurse | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-10-25 |
| 1720535594 | Cynthia Yoana Nunez | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-09-08 |
| 1073965612 | Charles Niba | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-07-07 |
| 1447601885 | Dianne Madison | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612488 | Emily G France | Marriage & Family Therapist | 974 Ralston Ave Ste 9, Belmont, CA 94002-2249 | 2017-11-07 |
| 1558742833 | Robin Zenger Baker | Marriage & Family Therapist | 38 Carleton Cir, Belmont, MA 02478 | 2015-06-12 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1386837508 | Alanna Maureen Shaw | Marriage & Family Therapist | 326 Chesterton Ave, Belmont, CA 94002-2513 | 2007-08-21 |
| 1346469988 | Kim Mcgarvey | Marriage & Family Therapist | 640 Masonic Way, Belmont, CA 94002-5400 | 2007-04-24 |
| 1740307024 | Martin Mansmann | Marriage & Family Therapist | 770 El Camino Real, Belmont, CA 94002-2303 | 2007-03-23 |
| 1275672602 | Carmelina Borg | Marriage & Family Therapist | 974 Ralston Ave Ste 6, Belmont, CA 94002-2249 | 2007-02-05 |
| 1053476382 | Jacqueline Hicks Najafian | Marriage & Family Therapist | 427 Catawba St, Belmont, NC 28012-3311 | 2006-12-27 |
| 1285796219 | Natasha King | Marriage & Family Therapist | 2427 Lincoln Ave, Belmont, CA 94002-1423 | 2006-12-15 |
| 1184790230 | Diana Jo Linn | Marriage & Family Therapist | 845 Ralston Ave, Belmont, CA 94002-2205 | 2006-11-28 |
| Find all providers in BELMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.