JENNIFER SOPHIA KOMM
NPI 1154961118
Marriage & Family Therapist in San Francisco, CA

Active since January 07, 2020Opted out of Medicare · through Jan 1, 2028
414 GOUGH ST, SAN FRANCISCO, CA 94102(415) 409-8469 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Sophia Komm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SOPHIA KOMM (NPI 1154961118) is an individual marriage & family therapist in San Francisco, California, licensed in California (105297) and active in the NPI registry since January 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1154961118
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER SOPHIA KOMM
Location Address414 GOUGH STSan Francisco, CA 94102-4464
Mailing Address1787 46th AveSan Francisco, CA 94122-3911 · (415) 409-8469
Sole ProprietorYes
Enumeration DateJanuary 7, 2020
NPI 1154961118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 105297
Definition

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.

414 GOUGH ST, San Francisco, CA 94102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Sophia Komm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
414 GOUGH ST, SUITE 6
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST, SUITE 3
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST, STE 6
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
414 GOUGH ST, SUITE 3
SAN FRANCISCO, CA 94102
Psychiatry & Neurology (Psychiatry)
414 GOUGH ST, STE. 6
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST, SUITE 5
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
414 GOUGH ST, SUITE 3
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST, SUITE 6
SAN FRANCISCO, CA 94102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Komm's NPI number?

The NPI number for Jennifer Komm is 1154961118. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Jennifer Komm located?

Jennifer Komm practices at 414 Gough St, San Francisco, CA 94102. The listed phone number is (415) 409-8469.

What is Jennifer Komm's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Komm enrolled in Medicare?

No. Jennifer Komm has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Komm was last updated on January 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.